Individual
DR. KATERYNA IVANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
474 N YELLOW SPRINGS STREET, SPRINGFIELD, OH 45504-2938
(937) 399-9500
Mailing address
807 WEST AVE, AUSTIN, TX 78701-2207
(888) 285-2269
(512) 838-4264
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
19-321
WI
2084P0800X
Psychiatry Physician
20190133398
MO
2084P0800X
Psychiatry Physician
26323
MS
2084P0800X
Psychiatry Physician
Primary
34.011156
OH
2084P0800X
Psychiatry Physician
63625
MN
2084P0800X
Psychiatry Physician
DO187158
OR
2084P0800X
Psychiatry Physician
OP60851495
WA
2084P0800X
Psychiatry Physician
Q3892
TX
Other
Enumeration date
04/28/2011
Last updated
04/26/2019
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