Provider Demographics
NPI:1922216639
Name:SMITH-HEINE, CATHERINE (LCPC, NCC)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:SMITH-HEINE
Suffix:
Gender:F
Credentials:LCPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 MAYO RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:EDGEWATER
Mailing Address - State:MD
Mailing Address - Zip Code:21037-2951
Mailing Address - Country:US
Mailing Address - Phone:410-299-9504
Mailing Address - Fax:410-843-9140
Practice Address - Street 1:224 MAYO RD
Practice Address - Street 2:SUITE E
Practice Address - City:EDGEWATER
Practice Address - State:MD
Practice Address - Zip Code:21037-2951
Practice Address - Country:US
Practice Address - Phone:410-299-9504
Practice Address - Fax:410-843-9140
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2015-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC1674101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health