Provider Demographics
NPI:1679702500
Name:THORPE, CATHERINE LEA (MA)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:LEA
Last Name:THORPE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 53473
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98015-3473
Mailing Address - Country:US
Mailing Address - Phone:425-454-7447
Mailing Address - Fax:
Practice Address - Street 1:1621 114TH AVE SE
Practice Address - Street 2:SUITE 221
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-6956
Practice Address - Country:US
Practice Address - Phone:425-454-7447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-13
Last Update Date:2009-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00007685101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health