Organization
CATHERINE E. MAIN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATHERINE E. MAIN PH. D. (PRESIDENT)
(415) 457-0424
Entity
Organization
Contact information
Practice address
240 TAMAL VISTA BLVD, SUITE 270, CORTE MADERA, CA 94925-1132
(415) 457-0424
(415) 388-7371
Mailing address
240 TAMAL VISTA BLVD, SUITE 270, CORTE MADERA, CA 94925-1132
(415) 457-0424
(415) 388-7371
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY13384
CA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PSY13384
CA
103TB0200X
Cognitive & Behavioral Psychologist
PSY13384
CA
103TC0700X
Clinical Psychologist
PSY13384
CA
103TC1900X
Counseling Psychologist
PSY13384
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY13384
CA
103TF0000X
Family Psychologist
PSY13384
CA
103TF0200X
Forensic Psychologist
PSY13384
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PSY13384
CA
Other
Enumeration date
07/28/2009
Last updated
07/28/2009
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