Provider Demographics
NPI:1447686787
Name:MARSHALL, CATHERINE A (PSYD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:A
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2335 E COLORADO BLVD
Mailing Address - Street 2:SUITE 115245
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-6833
Mailing Address - Country:US
Mailing Address - Phone:626-390-3030
Mailing Address - Fax:
Practice Address - Street 1:510 S GRAND AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91741-4207
Practice Address - Country:US
Practice Address - Phone:626-914-1980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-18
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 25807103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical