Provider Demographics
NPI:1215759121
Name:MACCASKILL-WHITETHORNE, CATHERINE LYN (MSED)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:LYN
Last Name:MACCASKILL-WHITETHORNE
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:LYN
Other - Last Name:MACCASKILL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSED
Mailing Address - Street 1:5364 CATINA ARCH
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-1385
Mailing Address - Country:US
Mailing Address - Phone:425-299-5026
Mailing Address - Fax:
Practice Address - Street 1:850 TIDEWATER DR STE A
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23504-3300
Practice Address - Country:US
Practice Address - Phone:757-271-8068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0704014772101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health