Healthcare Provider Details

I. General information

NPI: 1750015491
Provider Name (Legal Business Name): KATHERINE CLER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2022
Last Update Date: 08/18/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 MDG, 280 DAVID L. GOLDFEIN STREET, BLDG 23
HOLLOMAN AFB NM
88330
US

IV. Provider business mailing address

280 1ST ST
HOLLOMAN AFB NM
88330-8273
US

V. Phone/Fax

Practice location:
  • Phone: 575-572-5676
  • Fax:
Mailing address:
  • Phone: 575-572-5676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: