Doctor Name: | MARY KATHERINE KAISER |
NPI Number: | 1013059252 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | 18364 |
Business Practice Address: | 300 Thunderbird Dr Suite 12 El Paso, TX - 799123832 |
Business Phone Number: | 9158453122 |
Business Fax Number: | 9158454165 |
Mailing Address: | 300 Thunderbird Dr, Suite 12 EL PASO |
State: | TX |
Postal Code: | 799123832 |
Phone Number: | 9158453122 |
Fax Number: | 9158454165 |
NPI Enumeration Date: | 02/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 18364 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |