Healthcare Provider Details

I. General information

NPI: 1548164585
Provider Name (Legal Business Name): KATHERINE ATTERBURY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 YACHT CLUB WAY APT 306
HYPOLUXO FL
33462-6014
US

IV. Provider business mailing address

120 YACHT CLUB WAY APT 306
HYPOLUXO FL
33462-6014
US

V. Phone/Fax

Practice location:
  • Phone: 561-602-1210
  • Fax: 561-404-4735
Mailing address:
  • Phone: 561-602-1210
  • Fax: 561-404-4735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW27263
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: