Provider Demographics
NPI:1225448350
Name:PILCHER, KATIE (MED, EDS, NCSP)
Entity Type:Individual
Prefix:MRS
First Name:KATIE
Middle Name:
Last Name:PILCHER
Suffix:
Gender:F
Credentials:MED, EDS, NCSP
Other - Prefix:MISS
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:HARTIGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED, EDS, NCSP
Mailing Address - Street 1:7279 LAUREL RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:WHITEHOUSE
Mailing Address - State:OH
Mailing Address - Zip Code:43571-9474
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6900 HALL ST
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:OH
Practice Address - Zip Code:43528-9485
Practice Address - Country:US
Practice Address - Phone:419-867-5666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-29
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH3128051103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist