1447477476 NPI number — MS. CATHERINE ANNE BELLINGHAM WISENOR MA LMHC

Table of content: MS. CATHERINE ANNE BELLINGHAM WISENOR MA LMHC (NPI 1447477476)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447477476 NPI number — MS. CATHERINE ANNE BELLINGHAM WISENOR MA LMHC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WISENOR
Provider First Name:
CATHERINE
Provider Middle Name:
ANNE BELLINGHAM
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MA LMHC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WISENOR
Provider Other First Name:
KATIE
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MA LMHC
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1447477476
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/23/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
705 W 7TH AVE STE H2
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SPOKANE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
99204-2836
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
509-455-7654
Provider Business Mailing Address Fax Number:
509-380-9579

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
705 W 7TH AVE STE H2
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SPOKANE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99204-2836
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-455-7654
Provider Business Practice Location Address Fax Number:
509-380-9579
Provider Enumeration Date:
04/19/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  LH00008910 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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