Individual
DR. CATHERINE CANNON OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
7700 FISH POND RD, WACO, TX 76710-1031
(254) 761-4408
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
30861
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0410805-01
—
TX
01
—
680012682
RR/MEDICARE
TX
01
—
86454A
BLUE SHIELD
TX
Enumeration date
04/05/2006
Last updated
11/05/2021
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