Provider Demographics
NPI:1811596513
Name:DUSMAN, CATHERINE MARY (DED)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:MARY
Last Name:DUSMAN
Suffix:
Gender:F
Credentials:DED
Other - Prefix:MISS
Other - First Name:CATHERINE
Other - Middle Name:MARY
Other - Last Name:PORTMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:788 CHERRY TREE CT
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-7901
Mailing Address - Country:US
Mailing Address - Phone:717-632-5552
Mailing Address - Fax:
Practice Address - Street 1:159 JACKSON DR
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-8962
Practice Address - Country:US
Practice Address - Phone:717-377-9637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-22
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist