Provider Demographics
NPI:1043472012
Name:DEVINE, CATHERINE (MS)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:
Last Name:DEVINE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5301 F ST STE 112
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95819-3202
Mailing Address - Country:US
Mailing Address - Phone:916-733-7111
Mailing Address - Fax:916-733-7110
Practice Address - Street 1:5301 F ST STE 112
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95819-3202
Practice Address - Country:US
Practice Address - Phone:916-733-7111
Practice Address - Fax:916-733-7110
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS