Provider Demographics
NPI:1669693263
Name:MOUSA, KATHERINE (MA)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:
Last Name:MOUSA
Suffix:
Gender:
Credentials:MA
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:L
Other - Last Name:LEMEAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:180 COUNTY RD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-6208
Mailing Address - Country:US
Mailing Address - Phone:603-860-4102
Mailing Address - Fax:
Practice Address - Street 1:180 COUNTY RD
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-6208
Practice Address - Country:US
Practice Address - Phone:603-472-3951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH670101YM0800X
MA6242101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health