Doctor Name: | KATHERINE MARIE ECKHART |
NPI Number: | 1407073174 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LGSW |
License Number: | |
Business Practice Address: | 7702 Dunmanway Dundalk, MD - 212225436 |
Business Phone Number: | 4102821792 |
Business Fax Number: | |
Mailing Address: | 821 Hollins St, Apt. 2b BALTIMORE |
State: | MD |
Postal Code: | 212011042 |
Phone Number: | 4108125970 |
Fax Number: | |
NPI Enumeration Date: | 04/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |