Provider Demographics
NPI:1952568727
Name:BREUER, KATERIE
Entity Type:Individual
Prefix:MRS
First Name:KATERIE
Middle Name:
Last Name:BREUER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2329 WEDGEWOOD DR.
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28104
Mailing Address - Country:US
Mailing Address - Phone:704-718-8657
Mailing Address - Fax:877-735-8447
Practice Address - Street 1:2329 WEDGEWOOD DR
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28104-9253
Practice Address - Country:US
Practice Address - Phone:704-718-8657
Practice Address - Fax:877-735-8447
Is Sole Proprietor?:No
Enumeration Date:2008-05-20
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0076101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical