MEDICARE: DR. KATIE LOUISE EILEEN DUHAMEL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	MTL500001545	DC
2	2084P0800X	Psychiatry Physician	83889	CT

General Provider Information

NPI Number	:	1710619572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATIE LOUISE EILEEN DUHAMEL

Provider Business Mailing Address
First Line	:	DC DBH, SAINT ELIZABETHS HOSP, 1100 ALABAMA AVE SE
Second Line	:	PSYCHIATRY RESIDENCY PROGRAM, SUITE 238
City	:	WASHINGTON
State	:	DC
Zip	:	20032
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	DC DBH, SAINT ELIZABETHS HOSP, 1100 ALABAMA AVENUE SE
Second Line	:	PSYCHIATRY RESIDENCY PROGRAM SUITE 238
City	:	WASHINGTON
State	:	DC
Zip	:	20003
Country	:	US
Telephone Number	:	202-299-5334
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2022
Last Update Date	:	03/12/2026

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