Provider Demographics
NPI:1447773031
Name:CARSTARPHEN, CATHERINE STOWE (DMIN)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:STOWE
Last Name:CARSTARPHEN
Suffix:
Gender:F
Credentials:DMIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 69
Mailing Address - Street 2:
Mailing Address - City:MC ADENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28101-0069
Mailing Address - Country:US
Mailing Address - Phone:704-460-9684
Mailing Address - Fax:
Practice Address - Street 1:5203 SHARON RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-4721
Practice Address - Country:US
Practice Address - Phone:704-554-9900
Practice Address - Fax:704-554-9956
Is Sole Proprietor?:No
Enumeration Date:2017-07-25
Last Update Date:2017-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC110101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral