Healthcare Provider Details

I. General information

NPI: 1447880711
Provider Name (Legal Business Name): KATHERINE KOT PSY D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2020
Last Update Date: 01/24/2020
Certification Date: 01/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SUITE1203, ISLAND BEVERLEY 1 GREAT GEORGE STREET
CAUSEWAY BAY HONG KONG
ISLAND
HK

IV. Provider business mailing address

SUITE1203, ISLAND BEVERLEY 1 GREAT GEORGE STREET
CAUSEWAY BAY HONG KONG
ISLAND
HK

V. Phone/Fax

Practice location:
  • Phone: 852-288-1886
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number38726
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: