Provider Demographics
NPI:1124053822
Name:WEBER, KATHERINE H (MED, NCC, LPC)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:H
Last Name:WEBER
Suffix:
Gender:F
Credentials:MED, NCC, LPC
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:
Other - Last Name:WEBER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MED, NCC, LPC
Mailing Address - Street 1:1201 W ELM AVE
Mailing Address - Street 2:UNIT 2
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-4600
Mailing Address - Country:US
Mailing Address - Phone:717-632-8400
Mailing Address - Fax:717-885-5550
Practice Address - Street 1:2500 KINGSTON RD
Practice Address - Street 2:SUITE 1
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-3731
Practice Address - Country:US
Practice Address - Phone:717-747-3659
Practice Address - Fax:717-885-5550
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16978101YP2500X
PA001094101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1380548OtherHIGHMARK BLUE CROSS BLUE SHIELD
PA50029822OtherCAPTIAL BLUE CROSS
PA722634-000OtherMAGELLAN
PA475965OtherVALUE OPTIONS
PA7041553OtherAETNA