Healthcare Provider Details

I. General information

NPI: 1710619572
Provider Name (Legal Business Name): DR. KATIE LOUISE EILEEN DUHAMEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2022
Last Update Date: 06/29/2022
Certification Date: 06/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DC DBH, SAINT ELIZABETHS HOSP, 1100 ALABAMA AVENUE SE PSYCHIATRY RESIDENCY PROGRAM SUITE 238
WASHINGTON DC
20003
US

IV. Provider business mailing address

DC DBH, SAINT ELIZABETHS HOSP, 1100 ALABAMA AVE SE PSYCHIATRY RESIDENCY PROGRAM, SUITE 238
WASHINGTON DC
20032
US

V. Phone/Fax

Practice location:
  • Phone: 202-299-5334
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMTL500001545
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: