Provider Demographics
NPI:1831709237
Name:WEEDA, CATHERINE J (MSED)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:J
Last Name:WEEDA
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3234 WALNUT DR
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND BCH
Mailing Address - State:MD
Mailing Address - Zip Code:21403-4665
Mailing Address - Country:US
Mailing Address - Phone:443-786-1988
Mailing Address - Fax:
Practice Address - Street 1:3234 WALNUT DR
Practice Address - Street 2:
Practice Address - City:HIGHLAND BCH
Practice Address - State:MD
Practice Address - Zip Code:21403-4665
Practice Address - Country:US
Practice Address - Phone:443-786-1988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-31
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No174H00000XOther Service ProvidersHealth Educator