Provider Demographics
NPI:1487944948
Name:HINKLE, KATHARINE A (PSYD)
Entity type:Individual
Prefix:DR
First Name:KATHARINE
Middle Name:A
Last Name:HINKLE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1823 BREASTED AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60516-2441
Mailing Address - Country:US
Mailing Address - Phone:847-800-6446
Mailing Address - Fax:
Practice Address - Street 1:1823 BREASTED AVE
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60516-2441
Practice Address - Country:US
Practice Address - Phone:847-800-6446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-18
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071-008117103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical