Provider Demographics
NPI:1114384989
Name:STROBE, KATIE LYNNE (ND)
Entity Type:Individual
Prefix:DR
First Name:KATIE
Middle Name:LYNNE
Last Name:STROBE
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3411 SHADY SPRING LN
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-4542
Mailing Address - Country:US
Mailing Address - Phone:206-251-6195
Mailing Address - Fax:
Practice Address - Street 1:1615 20TH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107-2810
Practice Address - Country:US
Practice Address - Phone:206-251-6195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-25
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND782175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath