Provider Demographics
NPI:1912583089
Name:EDWARDS, CATHERINE ANNESA (MA MCFT)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:ANNESA
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:MA MCFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 MEIXELL CIR
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-9265
Mailing Address - Country:US
Mailing Address - Phone:570-371-9512
Mailing Address - Fax:
Practice Address - Street 1:111 MEIXELL CIR
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-9265
Practice Address - Country:US
Practice Address - Phone:570-371-9512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-19
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling