Individual
DR. KATHRYN LICASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5219 MONTICELLO AVE #5103, WILLIAMSBURG, VA 23188
(757) 255-8272
Mailing address
PO BOX 5103, WILLIAMSBURG, VA 23188-5201
(757) 255-8272
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
0810007654
VA
103TC0700X
Clinical Psychologist
Primary
0810007654
VA
103TH0004X
Health Psychologist
0810007654
VA
103TP2701X
Group Psychotherapy Psychologist
0810007654
VA
Other
Enumeration date
07/03/2009
Last updated
07/30/2025
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