Individual
MS. CATHY LYNN CARUTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
175 SHAWNEE EST, WINFIELD, WV 25213-9709
(304) 545-0702
Mailing address
175 SHAWNEE EST, WINFIELD, WV 25213-9709
(304) 545-0702
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
WV#608
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9201005000
—
WV
Enumeration date
07/21/2005
Last updated
09/19/2018
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