NPI Code Details Logo

NPI 1578760864

NPI 1578760864 : CATHERINE ANNE BLEDOWSKI MD : LEESBURG, VA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1578760864
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    CATHERINE ANNE BLEDOWSKI MD
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/29/2007
-----------------------------------------------------
    Last Update Date     |    07/30/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    44045 RIVERSIDE PKWY 
-----------------------------------------------------
    City                 |    LEESBURG
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    20176-5101
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    703-858-6000
-----------------------------------------------------
    Fax                  |    703-858-6900
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    150 RIVERSIDE PARKWAY SUITE 115 (PRIVATE OFFICE 121)
-----------------------------------------------------
    City                 |    FREDERICKSBURG
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    22406
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2084P0015X
-----------------------------------------------------
    Taxonomy Name        |    Psychosomatic Medicine Physician
-----------------------------------------------------
    License Number       |    0101249544
-----------------------------------------------------
    License Number State |    VA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    2084P0800X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatry Physician
-----------------------------------------------------
    License Number       |    0101249544
-----------------------------------------------------
    License Number State |    VA
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.