Andre, Katherine C

Andre, Katherine C is an sole proprietor health care provider with primary practice located at 75 4Th St , Lakeport CA 95453-4804. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Andre, Katherine C can be contacted via phone (707) 263-6360.

Contact Information

Primary practice address
75 4Th St Lakeport CA 95453-4804
Phone: (707) 263-6360
Fax: (707) 263-6360
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 12257 California

Profile Details

NPI number 1255412870
LBN Legal business name Andre, Katherine C
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255412870 NPPES
California Other PSY12257 LICENSE NUMBER

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