Provider Demographics
NPI:1174017032
Name:CHASSEVENT, ANNA KATHRYN (SCM)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:KATHRYN
Last Name:CHASSEVENT
Suffix:
Gender:F
Credentials:SCM
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:KATHRYN
Other - Last Name:JENKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:427 MOSHER ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21217-3447
Mailing Address - Country:US
Mailing Address - Phone:410-657-5983
Mailing Address - Fax:
Practice Address - Street 1:427 MOSHER ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21217-3447
Practice Address - Country:US
Practice Address - Phone:410-657-5983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-14
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS