Provider Demographics
NPI:1114240645
Name:RICHMOND, KATE ANNE (PHD)
Entity Type:Individual
Prefix:DR
First Name:KATE
Middle Name:ANNE
Last Name:RICHMOND
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1845 WALNUT ST STE 945
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-4709
Mailing Address - Country:US
Mailing Address - Phone:215-964-5220
Mailing Address - Fax:
Practice Address - Street 1:1845 WALNUT ST STE 945
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-4709
Practice Address - Country:US
Practice Address - Phone:215-964-5220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-11
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016296103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical