Provider Demographics
NPI:1598101081
Name:MCALEE, KATHERINE ANN (BCABA, LABA)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:ANN
Last Name:MCALEE
Suffix:
Gender:F
Credentials:BCABA, LABA
Other - Prefix:MS
Other - First Name:KATHERINE
Other - Middle Name:ANN
Other - Last Name:BIDWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCABA, LABA
Mailing Address - Street 1:12949 CENTRE PARK CIR APT 301
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20171-5981
Mailing Address - Country:US
Mailing Address - Phone:703-328-6755
Mailing Address - Fax:
Practice Address - Street 1:12949 CENTRE PARK CIR APT 301
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20171-5981
Practice Address - Country:US
Practice Address - Phone:703-328-6755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-11
Last Update Date:2014-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0134000003222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist