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General NPI Number Information
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NPI Number | 1487103313
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Entity Type | Individual
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Provider Name | KATIE PARENT
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Gender | Female
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Dates
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Enumeration Date | 10/04/2016
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 200 KATONAH AVE STE 14B
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City | KATONAH
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State | NY
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Zip | 10536-2175
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Country | US
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Telephone | 845-649-2147
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Fax |
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Provider Business Mailing Address
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Address Line | 490 MAIN ST APT 2
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City | BEACON
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State | NY
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Zip | 12508-3374
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 101755-1
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License Number State | NY
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