| Doctor Name: | MRS. KATHERINE DIANE PORTER |
| NPI Number: | 1912977182 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 5920823501 |
| Business Practice Address: | 3809 W 6200 S Kearns, UT - 841183725 |
| Business Phone Number: | 8019634395 |
| Business Fax Number: | |
| Mailing Address: | 941 E 1300 S, SALT LAKE CITY |
| State: | UT |
| Postal Code: | 841051856 |
| Phone Number: | 8017034557 |
| Fax Number: | |
| NPI Enumeration Date: | 01/23/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 5920823501 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |