Provider Demographics
NPI:1821595323
Name:TIGHE, KATHERINE
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:TIGHE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:TIGHE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BBCI, STUDENT DOULA
Mailing Address - Street 1:1417 PLEASANT VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-2540
Mailing Address - Country:US
Mailing Address - Phone:864-356-3487
Mailing Address - Fax:
Practice Address - Street 1:1417 PLEASANT VALLEY DR
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-2540
Practice Address - Country:US
Practice Address - Phone:864-356-3487
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-11
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty