Provider Demographics
NPI:1558988030
Name:ABRAHAMSON, CATHERINE WISENBERG (PHD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:WISENBERG
Last Name:ABRAHAMSON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:CAREY
Other - Last Name:WISENBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2806 WINDING SHORE LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-5707
Mailing Address - Country:US
Mailing Address - Phone:202-257-0202
Mailing Address - Fax:
Practice Address - Street 1:2806 WINDING SHORE LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-5707
Practice Address - Country:US
Practice Address - Phone:202-257-0202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-30
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38295103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist