MEDICARE: KATHERINE PATRICIA HARPER REGENSBURGER AMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	AMFT149216	CA

General Provider Information

NPI Number	:	1396564902
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE PATRICIA HARPER REGENSBURGER AMFT

Provider Business Mailing Address
First Line	:	1932 E DEERE AVE STE 240
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92705-5716
Country	:	US
Telephone Number	:	714-742-2496
Fax Number	:

Provider Business Practice Location Address
First Line	:	1932 E DEERE AVE STE 2401932E
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92705-5735
Country	:	US
Telephone Number	:	714-742-2496
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/09/2024
Last Update Date	:	05/22/2025

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