| Doctor Name: | DR. KATHERINE J MAHAFFEY |
| NPI Number: | 1164650560 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 418 |
| Business Practice Address: | 116 S 3rd St Saint Peter, MN - 560822043 |
| Business Phone Number: | 5079318040 |
| Business Fax Number: | 5079318060 |
| Mailing Address: | 116 S 3rd St, SAINT PETER |
| State: | MN |
| Postal Code: | 560822043 |
| Phone Number: | 5079318040 |
| Fax Number: | 5079318060 |
| NPI Enumeration Date: | 06/24/2009 |
| NPI Last Update Date: | 06/24/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 418 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |