Healthcare Provider Details

I. General information

NPI: 1336720820
Provider Name (Legal Business Name): KATHERINE SCHABILION PHD, LP, HSP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATIE SCHABILION PHD, LP, HSP

II. Dates (important events)

Enumeration Date: 04/16/2021
Last Update Date: 04/16/2021
Certification Date: 04/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 BLANK HONORS CTR
IOWA CITY IA
52242-0454
US

IV. Provider business mailing address

2876 CORAL CT APT 202
CORALVILLE IA
52241-2840
US

V. Phone/Fax

Practice location:
  • Phone: 319-335-6148
  • Fax:
Mailing address:
  • Phone: 563-370-7316
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number102108
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number108128
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: