Provider Demographics
NPI:1326590621
Name:NEWBY, KATHERINE RENEE (LMFT)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:RENEE
Last Name:NEWBY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:KATHERNE
Other - Middle Name:RENEE
Other - Last Name:MCCARTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:930 W DOUGLAS AVE STE G
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-6106
Mailing Address - Country:US
Mailing Address - Phone:316-282-3444
Mailing Address - Fax:316-282-3444
Practice Address - Street 1:930 W DOUGLAS AVE # G
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203
Practice Address - Country:US
Practice Address - Phone:316-282-3444
Practice Address - Fax:316-282-3444
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-03
Last Update Date:2018-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2860106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist