Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | PSY01614 | MO |
N | 103T00000X | Psychologist | PSY01614 | MO |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | PSY01614 | MO |
N | 103TB0200X | Cognitive & Behavioral Psychologist | PSY01614 | MO |
N | 103G00000X | Clinical Psychologist | PSY01614 | MO |
N | 103TC0700X | Clinical Psychologist | PSY01614 | MO |
N | 103TC1900X | Counseling Psychologist | PSY01614 | MO |
N | 103TF0000X | Family Psychologist | PSY01614 | MO |
N | 103TP2701X | Group Psychotherapist | PSY01614 | MO |
NPI | 1164647830 |
---|---|
Provider Name | Dr. M. Catherine Easterday |
First Address | Columbia, MO 65203-3633 |
Second Address | Columbia, MO 65203-3633 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2007 |
Last Update Date | 09/07/2007 |