| Doctor Name: | KATE CHOWPAKNAM |
| NPI Number: | 1295104842 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD |
| License Number: | 05601 |
| Business Practice Address: | 1662 Village Grn Crofton, MD - 211142014 |
| Business Phone Number: | 4107572077 |
| Business Fax Number: | 4107212357 |
| Mailing Address: | 1662 Village Grn, CROFTON |
| State: | MD |
| Postal Code: | 211142014 |
| Phone Number: | 4107572077 |
| Fax Number: | 4107212357 |
| NPI Enumeration Date: | 09/24/2015 |
| NPI Last Update Date: | 09/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 05601 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |