Provider Demographics
NPI:1376735522
Name:WEYMOUTH, KATHARINE LOPEZ (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHARINE
Middle Name:LOPEZ
Last Name:WEYMOUTH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 KENNETT PIKE STE 244
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19807-2029
Mailing Address - Country:US
Mailing Address - Phone:302-566-5020
Mailing Address - Fax:302-300-4666
Practice Address - Street 1:4001 KENNETT PIKE STE 244
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19807-2029
Practice Address - Country:US
Practice Address - Phone:302-566-5020
Practice Address - Fax:302-300-4666
Is Sole Proprietor?:No
Enumeration Date:2007-08-13
Last Update Date:2021-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-00083262084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry