Individual
DR. KATHERINE FACKINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
450 7TH ST STE LL5, HOBOKEN, NJ 07030-2079
(866) 369-1090
Mailing address
450 7TH ST STE LL5, HOBOKEN, NJ 07030-2079
(866) 369-1090
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
002746-1
NY
103T00000X
Psychologist
Primary
35S100585300
NJ
Other
Enumeration date
11/10/2018
Last updated
11/10/2018
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