Provider Demographics
NPI:1912737099
Name:KATHRYN E. KURIVIAL, PSYD, LLC
Entity type:Organization
Organization Name:KATHRYN E. KURIVIAL, PSYD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:KURIVIAL
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:419-630-6411
Mailing Address - Street 1:5749 PARK CENTER CT
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-1479
Mailing Address - Country:US
Mailing Address - Phone:419-534-0050
Mailing Address - Fax:419-452-0355
Practice Address - Street 1:5749 PARK CENTER CT
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-1479
Practice Address - Country:US
Practice Address - Phone:419-534-0050
Practice Address - Fax:419-452-0355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty