Individual
DR. KATHERINE CARRIZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2622 AVENUE C, SCOTTSBLUFF, NE 69361-1680
(308) 632-8547
(308) 632-0135
Mailing address
2622 AVENUE C, SCOTTSBLUFF, NE 69361-1680
(308) 632-8547
(308) 632-0135
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10227
NE
103TC0700X
Clinical Psychologist
Primary
528
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47083791626
—
NE
Enumeration date
04/24/2014
Last updated
06/01/2016
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