Provider Demographics
NPI:1609671353
Name:BASSETT, CATHERINE CLODAGH
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:CLODAGH
Last Name:BASSETT
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5243 MORLEY CT
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22032-3917
Mailing Address - Country:US
Mailing Address - Phone:703-503-8635
Mailing Address - Fax:
Practice Address - Street 1:5243 MORLEY CT
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22032-3917
Practice Address - Country:US
Practice Address - Phone:703-503-8635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider