| Doctor Name: | MRS. KATHERINE STAPLETON |
| NPI Number: | 1750788444 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MED, ED.S. |
| License Number: | OH3175678 |
| Business Practice Address: | 524 W Main St Mount Orab, OH - 451548262 |
| Business Phone Number: | 9374442044 |
| Business Fax Number: | 9374444303 |
| Mailing Address: | 524 W Main St, MOUNT ORAB |
| State: | OH |
| Postal Code: | 451548262 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/25/2014 |
| NPI Last Update Date: | 10/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | OH3175678 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |