Provider Demographics
NPI:1336324391
Name:AINSLIE, KATE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:KATE
Middle Name:
Last Name:AINSLIE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:864 S ROBERTSON BLVD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-1605
Mailing Address - Country:US
Mailing Address - Phone:310-203-1316
Mailing Address - Fax:310-861-1441
Practice Address - Street 1:864 S ROBERTSON BLVD
Practice Address - Street 2:SUITE 304
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035-1605
Practice Address - Country:US
Practice Address - Phone:310-203-1316
Practice Address - Fax:310-861-1441
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20455103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist