Provider Demographics
NPI:1588542559
Name:CUMMINGS, KATHERINE
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 FOX RUN RD UNIT 2167
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:NY
Mailing Address - Zip Code:12015-2408
Mailing Address - Country:US
Mailing Address - Phone:518-669-7416
Mailing Address - Fax:
Practice Address - Street 1:26 FOX RUN RD UNIT 2167
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:NY
Practice Address - Zip Code:12015-2408
Practice Address - Country:US
Practice Address - Phone:518-669-7416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool