Provider Demographics
NPI:1366823312
Name:WHITNEY, KATHRYN ELYSE (BA)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:ELYSE
Last Name:WHITNEY
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:ELYSE
Other - Last Name:ARTALE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:501 MARIN ST STE 100
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-4265
Mailing Address - Country:US
Mailing Address - Phone:805-413-0350
Mailing Address - Fax:
Practice Address - Street 1:501 MARIN ST STE 100
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-4265
Practice Address - Country:US
Practice Address - Phone:805-413-0350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-16
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health