Doctor Name: | KATHRYN DEMIRI |
NPI Number: | 1356695803 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 5534-125 |
Business Practice Address: | 6416 S Howell Ave Oak Creek, WI - 531541104 |
Business Phone Number: | 4143045713 |
Business Fax Number: | 4143045721 |
Mailing Address: | 3531 W Crest Ct, FRANKLIN |
State: | WI |
Postal Code: | 531329333 |
Phone Number: | 2629518480 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2012 |
NPI Last Update Date: | 10/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 5534-125 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |