Healthcare Provider Details

I. General information

NPI: 1558683342
Provider Name (Legal Business Name): KATHERINE UNDERWOOD LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KATHERINE CARTWRIGHT

II. Dates (important events)

Enumeration Date: 02/19/2010
Last Update Date: 02/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 W LAMAR ST SUITE 102
SHERMAN TX
75090-5885
US

IV. Provider business mailing address

PO BOX 1154
SHERMAN TX
75091-1154
US

V. Phone/Fax

Practice location:
  • Phone: 903-893-0298
  • Fax: 903-892-6323
Mailing address:
  • Phone: 903-893-0298
  • Fax: 903-892-6323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number66133
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: