Provider Demographics
NPI:1598093858
Name:FORBES, CATHY (ND)
Entity Type:Individual
Prefix:DR
First Name:CATHY
Middle Name:
Last Name:FORBES
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2134 E BROADWAY RD UNIT 2055
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-1779
Mailing Address - Country:US
Mailing Address - Phone:480-282-2471
Mailing Address - Fax:
Practice Address - Street 1:2134 E BROADWAY RD UNIT 2055
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-1779
Practice Address - Country:US
Practice Address - Phone:480-282-2471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-25
Last Update Date:2009-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ09-1170175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath