Provider Demographics
NPI:1174727994
Name:WETZELL, CATHERINE (LPC)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:
Last Name:WETZELL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 KATHY DR
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-1716
Mailing Address - Country:US
Mailing Address - Phone:215-493-2773
Mailing Address - Fax:
Practice Address - Street 1:12 PENNS TRL
Practice Address - Street 2:SUITE 106
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1892
Practice Address - Country:US
Practice Address - Phone:215-932-9904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00378000101YP2500X
PAPC004549101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional