Healthcare Provider Details

I. General information

NPI: 1598093858
Provider Name (Legal Business Name): CATHY FORBES N.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/25/2009
Last Update Date: 11/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2134 E BROADWAY RD UNIT 2055
TEMPE AZ
85282-1779
US

IV. Provider business mailing address

2134 E BROADWAY RD UNIT 2055
TEMPE AZ
85282-1779
US

V. Phone/Fax

Practice location:
  • Phone: 480-282-2471
  • Fax:
Mailing address:
  • Phone: 480-282-2471
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number09-1170
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: