Provider Demographics
NPI:1144364779
Name:SOWARD, KATHRYN W (PHD, LPC)
Entity type:Individual
Prefix:MISS
First Name:KATHRYN
Middle Name:W
Last Name:SOWARD
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 EVERHART RD
Mailing Address - Street 2:SUITE H21
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-1926
Mailing Address - Country:US
Mailing Address - Phone:361-814-1900
Mailing Address - Fax:361-814-5200
Practice Address - Street 1:700 EVERHART RD
Practice Address - Street 2:SUITE H21
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-1926
Practice Address - Country:US
Practice Address - Phone:361-814-1900
Practice Address - Fax:361-814-5200
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15764101Y00000X
TX33262103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical