Provider Demographics
NPI:1275846032
Name:DILLEHAY, KATHARINE ANNE
Entity Type:Individual
Prefix:
First Name:KATHARINE
Middle Name:ANNE
Last Name:DILLEHAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KATHARINE
Other - Middle Name:ANNE
Other - Last Name:BRADFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:67 WINDSOR HWY
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12553-6200
Mailing Address - Country:US
Mailing Address - Phone:845-692-0022
Mailing Address - Fax:845-692-7111
Practice Address - Street 1:67 WINDSOR HWY
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12553-6200
Practice Address - Country:US
Practice Address - Phone:845-692-0022
Practice Address - Fax:845-692-7111
Is Sole Proprietor?:No
Enumeration Date:2010-07-22
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor