Provider Demographics
NPI:1073918553
Name:ROWNY, KATHARINE L
Entity Type:Individual
Prefix:
First Name:KATHARINE
Middle Name:L
Last Name:ROWNY
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:KATHARINE
Other - Middle Name:
Other - Last Name:ROWNY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:2100 WEBSTER ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-1176
Mailing Address - Country:US
Mailing Address - Phone:415-634-5580
Mailing Address - Fax:
Practice Address - Street 1:1810 BERKELEY WAY
Practice Address - Street 2:#6
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94703-1546
Practice Address - Country:US
Practice Address - Phone:971-221-3329
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-27
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31486103TH0004X, 101YM0800X
CA805773163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth
No163W00000XNursing Service ProvidersRegistered Nurse