Provider Demographics
NPI:1215053012
Name:CARR- THINNER, KATRINA (MHS)
Entity type:Individual
Prefix:MS
First Name:KATRINA
Middle Name:
Last Name:CARR- THINNER
Suffix:
Gender:F
Credentials:MHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1836 MOUNTAIN ST
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19145-1413
Mailing Address - Country:US
Mailing Address - Phone:215-551-0176
Mailing Address - Fax:215-551-0176
Practice Address - Street 1:551 W LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:HAVERFORD
Practice Address - State:PA
Practice Address - Zip Code:19041-1419
Practice Address - Country:US
Practice Address - Phone:610-525-4000
Practice Address - Fax:484-385-1413
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor