Healthcare Provider Details

I. General information

NPI: 1104170109
Provider Name (Legal Business Name): KATE ELENA MCGREGOR PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/30/2012
Last Update Date: 10/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4025 W 226TH ST
TORRANCE CA
90505-2340
US

IV. Provider business mailing address

4025 W 226TH ST
TORRANCE CA
90505-2340
US

V. Phone/Fax

Practice location:
  • Phone: 310-373-4556
  • Fax: 310-373-2826
Mailing address:
  • Phone: 310-373-4556
  • Fax: 310-373-2826

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY25277
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: