Doctor Name: | DR. KATHY MARIE LEARNER |
NPI Number: | 1740393669 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 1588 |
Business Practice Address: | 3624 High Peak Mountain Rd Valdese, NC - 286909498 |
Business Phone Number: | 8284331098 |
Business Fax Number: | |
Mailing Address: | Po Box 2024, MORGANTON |
State: | NC |
Postal Code: | 286802024 |
Phone Number: | 8284331098 |
Fax Number: | |
NPI Enumeration Date: | 08/16/2006 |
NPI Last Update Date: | 08/22/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 1588 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |