Healthcare Provider Details

I. General information

NPI: 1659293843
Provider Name (Legal Business Name): KATHERINE NORYKO MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KRISTY NORYKO

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2873 MISSION ST STE 6
SAN FRANCISCO CA
94110-3907
US

IV. Provider business mailing address

3749 BUCHANAN ST UNIT 475246
SAN FRANCISCO CA
94147-3103
US

V. Phone/Fax

Practice location:
  • Phone: 415-968-9784
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number127538
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: