Provider Demographics
NPI:1861689929
Name:DAME, CATHERINE E (LIC AC)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:E
Last Name:DAME
Suffix:
Gender:F
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:665 PROSPECT STREET - STE. 2
Mailing Address - Street 2:ACUP. SERVICES OF CHICOPEE
Mailing Address - City:CHICOPEE
Mailing Address - State:MA
Mailing Address - Zip Code:01020-3064
Mailing Address - Country:US
Mailing Address - Phone:413-536-4534
Mailing Address - Fax:
Practice Address - Street 1:665 PROSPECT STREET - STE. 2
Practice Address - Street 2:ACUPUNCTURE SERVICES OF CH
Practice Address - City:CHICOPEE
Practice Address - State:MA
Practice Address - Zip Code:01020-3064
Practice Address - Country:US
Practice Address - Phone:413-536-4534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-02
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA435171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist