Provider Demographics
NPI:1396328704
Name:DEVEAU, CATHERINE (CPM, LM)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:DEVEAU
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:559 ARMANDO AVE
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96003-9037
Mailing Address - Country:US
Mailing Address - Phone:530-338-8808
Mailing Address - Fax:530-338-5818
Practice Address - Street 1:559 ARMANDO AVE
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96003-9037
Practice Address - Country:US
Practice Address - Phone:530-338-8808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-03
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21040008176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife