Healthcare Provider Details

I. General information

NPI: 1760515746
Provider Name (Legal Business Name): KATHERINE RAYMER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 01/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8010 E MCDOWELL RD 111
SCOTTSDALE AZ
85257-3867
US

IV. Provider business mailing address

PO BOX 15644
SCOTTSDALE AZ
85267-5644
US

V. Phone/Fax

Practice location:
  • Phone: 480-970-0000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number35789
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number35789
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: