Healthcare Provider Details

I. General information

NPI: 1205557485
Provider Name (Legal Business Name): KATHERINE ANNE SOMER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KATHERINE ANNE BECKMANN

II. Dates (important events)

Enumeration Date: 09/07/2022
Last Update Date: 09/07/2022
Certification Date: 09/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 ROCKLAND RD
WILMINGTON DE
19803-3648
US

IV. Provider business mailing address

2 COOPERSHAWK LN
CHADDS FORD PA
19317-9714
US

V. Phone/Fax

Practice location:
  • Phone: 302-651-4500
  • Fax:
Mailing address:
  • Phone: 484-832-2518
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC011764
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC-0011289
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: