Individual
DR. KATE CADDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1255 N OAKLAND BLVD, WATERFORD, MI 48327-1545
(248) 406-0090
Mailing address
1255 N OAKLAND BLVD, WATERFORD, MI 48327-1545
(248) 406-0090
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301012229
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6301015559
STATE OF MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS, BOARD OF PSYCH
MI
Enumeration date
08/25/2016
Last updated
08/25/2016
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