Provider Demographics
NPI:1790808079
Name:FINE, CATHERINE GILBERTE (PHD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:GILBERTE
Last Name:FINE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 EVERGREEN CT
Mailing Address - Street 2:
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422-2817
Mailing Address - Country:US
Mailing Address - Phone:215-654-7675
Mailing Address - Fax:
Practice Address - Street 1:225 W GERMANTOWN PIKE
Practice Address - Street 2:SUITE 204
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-1429
Practice Address - Country:US
Practice Address - Phone:610-828-0418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS4512L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical