Healthcare Provider Details

I. General information

NPI: 1356403281
Provider Name (Legal Business Name): KATRINA NICOLE RHYMER PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2006
Last Update Date: 07/27/2023
Certification Date: 07/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1447 N HARRISON ST
SAGINAW MI
48602-4727
US

IV. Provider business mailing address

1206 TOMAH DR
MOUNT PLEASANT MI
48858-3345
US

V. Phone/Fax

Practice location:
  • Phone: 989-583-2833
  • Fax: 989-583-1440
Mailing address:
  • Phone: 989-779-8965
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number6301011541
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6301011541
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: