Provider Demographics
NPI:1164135257
Name:RIAL, KATHERINE (MRC, PHD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:
Last Name:RIAL
Suffix:
Gender:F
Credentials:MRC, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5451 MELROSE AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-7147
Mailing Address - Country:US
Mailing Address - Phone:214-908-9343
Mailing Address - Fax:
Practice Address - Street 1:8122 SPRING CYPRESS RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-3123
Practice Address - Country:US
Practice Address - Phone:281-210-6677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-04
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX78460101YP2500X
TX39570103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX78460OtherTEXAS BEHAVIORAL EXECUTIVE COUNCIL
TX39570OtherTEXAS BEHAVIORAL HEALTH EXECUTIVE COUNCIL