Healthcare Provider Details

I. General information

NPI: 1124353974
Provider Name (Legal Business Name): CATHARINE ELISABETH HEBDON LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2009
Last Update Date: 04/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2540 NEW BUTLER RD
NEW CASTLE PA
16101-3225
US

IV. Provider business mailing address

2540 NEW BUTLER RD
NEW CASTLE PA
16101-3225
US

V. Phone/Fax

Practice location:
  • Phone: 724-657-3303
  • Fax: 724-657-3326
Mailing address:
  • Phone: 724-657-3303
  • Fax: 724-657-3326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW127539
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: