Healthcare Provider Details

I. General information

NPI: 1508024944
Provider Name (Legal Business Name): KATRINA M. GARVEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2008
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1233 LAKE PLAZA DR
COLORADO SPRINGS CO
80906-3557
US

IV. Provider business mailing address

1233 LAKE PLAZA DR STE A
COLORADO SPRINGS CO
80906-3567
US

V. Phone/Fax

Practice location:
  • Phone: 719-349-3559
  • Fax:
Mailing address:
  • Phone: 719-349-3559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number0053978
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: