MEDICARE: KATHERINE CARPENTER GREY LMFT

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	101YM0800X	Mental Health Counselor	141310	CA

General Provider Information

NPI Number	:	1568129260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE CARPENTER GREY LMFT

Provider Business Mailing Address
First Line	:	1950 S PALM CANYON DR UNIT 141
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92264-8372
Country	:	US
Telephone Number	:	323-877-3337
Fax Number	:

Provider Business Practice Location Address
First Line	:	1950 S PALM CANYON DR UNIT 141
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92264-8372
Country	:	US
Telephone Number	:	323-877-3337
Fax Number	:

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

Provider Enumeration Date	:	11/17/2021
Last Update Date	:	10/24/2023

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