Provider Demographics
NPI:1891312799
Name:HOUCK, KATHRYN STEVERSON (MD)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:STEVERSON
Last Name:HOUCK
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PRISMA HEALTH MEDICAL GROUP PSYCHIATRY CENTER
Mailing Address - Street 2:1301 TAYLOR STREET SUITE 5K
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29201
Mailing Address - Country:US
Mailing Address - Phone:803-434-4300
Mailing Address - Fax:803-434-4351
Practice Address - Street 1:PRISMA HEALTH MEDICAL GROUP PSYCHIATRY CENTER
Practice Address - Street 2:1301 TAYLOR STREET SUITE 5K
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201
Practice Address - Country:US
Practice Address - Phone:803-434-4300
Practice Address - Fax:803-434-4351
Is Sole Proprietor?:No
Enumeration Date:2020-06-26
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1715822084P0800X
SCMD846042084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry