Provider Demographics
NPI:1073832614
Name:KOGER, CATHERINE (MFT)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:KOGER
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2299 POST ST
Mailing Address - Street 2:SUITE 211
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3441
Mailing Address - Country:US
Mailing Address - Phone:415-999-7673
Mailing Address - Fax:415-731-9723
Practice Address - Street 1:2299 POST ST
Practice Address - Street 2:SUITE 211
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3441
Practice Address - Country:US
Practice Address - Phone:415-999-7673
Practice Address - Fax:415-731-9723
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-21
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 33822106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist