Provider Demographics
NPI:1508855768
Name:MARTIN-DAVIS, CATHERINE M (LCPC)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:M
Last Name:MARTIN-DAVIS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4513 SUNFLOWER DR
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20853-1839
Mailing Address - Country:US
Mailing Address - Phone:301-593-5900
Mailing Address - Fax:301-929-9652
Practice Address - Street 1:344 UNIVERSITY BLVD W
Practice Address - Street 2:#325
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-1948
Practice Address - Country:US
Practice Address - Phone:301-593-5900
Practice Address - Fax:301-929-9652
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCO491101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional