Provider Demographics
NPI:1811297203
Name:WEBSTER, CATHERINE CHAPMAN (LAC)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:CHAPMAN
Last Name:WEBSTER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 COLUMBIA AVE
Mailing Address - Street 2:
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-4665
Mailing Address - Country:US
Mailing Address - Phone:301-920-0801
Mailing Address - Fax:
Practice Address - Street 1:1 COLUMBIA AVE
Practice Address - Street 2:
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-4665
Practice Address - Country:US
Practice Address - Phone:301-920-0801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-01
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU01841171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist