Provider Demographics
NPI:1285346106
Name:LEVINSON, KATHERINE (PHD, MFT)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:
Last Name:LEVINSON
Suffix:
Gender:F
Credentials:PHD, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 44
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:CA
Mailing Address - Zip Code:94937-0044
Mailing Address - Country:US
Mailing Address - Phone:415-717-7576
Mailing Address - Fax:
Practice Address - Street 1:5 DRAKE WAY
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:CA
Practice Address - Zip Code:94937-0044
Practice Address - Country:US
Practice Address - Phone:415-717-7576
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-22
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT15955106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
12345678OtherDON'T HAVE THESE NUMBERS