Provider Demographics
NPI:1740441062
Name:ERVIN, KATHERINE SCHOENTHALER (MD)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:SCHOENTHALER
Last Name:ERVIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1447
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:ME
Mailing Address - Zip Code:04843-1447
Mailing Address - Country:US
Mailing Address - Phone:207-230-8210
Mailing Address - Fax:207-230-8478
Practice Address - Street 1:PO BOX 1447
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:ME
Practice Address - Zip Code:04843-1447
Practice Address - Country:US
Practice Address - Phone:207-230-8210
Practice Address - Fax:207-230-8478
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-19
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD198642084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry