Provider Demographics
NPI:1295234953
Name:WASSON, CATHERINE E
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:E
Last Name:WASSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3331 CLARK CIR
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23509-1207
Mailing Address - Country:US
Mailing Address - Phone:303-618-6124
Mailing Address - Fax:
Practice Address - Street 1:3331 CLARK CIR
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23509-1207
Practice Address - Country:US
Practice Address - Phone:303-618-6124
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-08
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker