Provider Demographics
NPI:1629232871
Name:PRICE, CATHERINE ANDERSON (DOCTOR OF ACUPUNCTUR)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:ANDERSON
Last Name:PRICE
Suffix:
Gender:F
Credentials:DOCTOR OF ACUPUNCTUR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 ELMGROVE AVE
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-4124
Mailing Address - Country:US
Mailing Address - Phone:401-351-5063
Mailing Address - Fax:
Practice Address - Street 1:10 ELMGROVE AVE
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-4124
Practice Address - Country:US
Practice Address - Phone:401-351-5063
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-16
Last Update Date:2019-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDAOM00028171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist