=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750015491
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KATHERINE CLER PHD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/09/2022
-----------------------------------------------------
Last Update Date | 08/18/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 49 MDG, 280 DAVID L. GOLDFEIN STREET, BLDG 23
-----------------------------------------------------
City | HOLLOMAN AFB
-----------------------------------------------------
State | NM
-----------------------------------------------------
Zip | 88330
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 575-572-5676
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 280 1ST ST
-----------------------------------------------------
City | HOLLOMAN AFB
-----------------------------------------------------
State | NM
-----------------------------------------------------
Zip | 88330-8273
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 575-572-5676
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103T00000X
-----------------------------------------------------
Taxonomy Name | Psychologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------