Provider Demographics
NPI:1891022737
Name:ALLEN, CATHERINE ELIZABETH (LICAC, MAOM, MSC)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:ELIZABETH
Last Name:ALLEN
Suffix:
Gender:F
Credentials:LICAC, MAOM, MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1356 WASHINGTON ST STE C
Mailing Address - Street 2:
Mailing Address - City:BATH
Mailing Address - State:ME
Mailing Address - Zip Code:04530-2847
Mailing Address - Country:US
Mailing Address - Phone:207-443-3993
Mailing Address - Fax:
Practice Address - Street 1:1356 WASHINGTON ST STE C
Practice Address - Street 2:
Practice Address - City:BATH
Practice Address - State:ME
Practice Address - Zip Code:04530-2847
Practice Address - Country:US
Practice Address - Phone:207-443-3993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-13
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEAC322171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist