Provider Demographics
NPI:1174484323
Name:BLUMSTEIN, KATHERINE PERRY (PHD)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:PERRY
Last Name:BLUMSTEIN
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 1:8241 SE 30TH ST
Mailing Address - Street 2:
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-3005
Mailing Address - Country:US
Mailing Address - Phone:206-465-9657
Mailing Address - Fax:
Practice Address - Street 1:8241 SE 30TH ST
Practice Address - Street 2:
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-3005
Practice Address - Country:US
Practice Address - Phone:206-465-9657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-18
Last Update Date:2025-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY61434956103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical