Provider Demographics
NPI:1699165480
Name:STEWART, CATHERINE QUINN (MAC, LAC)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:QUINN
Last Name:STEWART
Suffix:
Gender:F
Credentials:MAC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 R ST NW
Mailing Address - Street 2:#603
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-1625
Mailing Address - Country:US
Mailing Address - Phone:202-232-8535
Mailing Address - Fax:
Practice Address - Street 1:1555 CONNECTICUT AVE NW
Practice Address - Street 2:3RD FLOOR
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-1111
Practice Address - Country:US
Practice Address - Phone:703-520-7142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-31
Last Update Date:2015-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCAC500117171100000X
VA0121000380171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist