| Doctor Name: | DR. KATHERINE JANE SCOVILLE |
| NPI Number: | 1609176452 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | 258780 |
| Business Practice Address: | 311 North St Suite 307 White Plains, NY - 106052217 |
| Business Phone Number: | 9143589559 |
| Business Fax Number: | 9143589560 |
| Mailing Address: | 311 North St, Suite 307 WHITE PLAINS |
| State: | NY |
| Postal Code: | 106052217 |
| Phone Number: | 9143589559 |
| Fax Number: | 9143589560 |
| NPI Enumeration Date: | 10/27/2010 |
| NPI Last Update Date: | 03/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | 258780 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |