MEDICARE: MRS. KATHERINE TAYLOR WASHINGTON PH.D.

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	103T00000X	Psychologist	3957	CO
2	103T00000X	Psychologist	2174	KS

General Provider Information

NPI Number	:	1669671103
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHERINE TAYLOR WASHINGTON PH.D.

Provider Business Mailing Address
First Line	:	723 DELAWARE ST
Second Line	:	MC 1910
City	:	DENVER
State	:	CO
Zip	:	80204-4504
Country	:	US
Telephone Number	:	303-602-3438
Fax Number	:	303-602-3430

Provider Business Practice Location Address
First Line	:	723 DELAWARE ST
Second Line	:	MC 1910
City	:	DENVER
State	:	CO
Zip	:	80204-4504
Country	:	US
Telephone Number	:	303-602-3438
Fax Number	:	303-602-3430

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

Provider Enumeration Date	:	07/14/2007
Last Update Date	:	05/14/2024

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