Individual
KATHERINE ANNE SPIVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1940 E DEERE AVE STE 100, SANTA ANA, CA 92705-5718
(714) 319-3856
Mailing address
2960 CHAMPION WAY APT 2407, TUSTIN, CA 92782-1212
(714) 331-8190
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
08/17/2021
Last updated
05/25/2023
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