Provider Demographics
NPI:1386005999
Name:HERMETET, KATRINA D (PHD, NCSP)
Entity Type:Individual
Prefix:DR
First Name:KATRINA
Middle Name:D
Last Name:HERMETET
Suffix:
Gender:F
Credentials:PHD, NCSP
Other - Prefix:DR
Other - First Name:KATRINA
Other - Middle Name:D
Other - Last Name:LINDSAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD, NCSP
Mailing Address - Street 1:1 PERKINS SQ
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-1063
Mailing Address - Country:US
Mailing Address - Phone:330-543-8058
Mailing Address - Fax:330-543-6075
Practice Address - Street 1:1 PERKINS SQ
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44308-1063
Practice Address - Country:US
Practice Address - Phone:330-543-8058
Practice Address - Fax:330-543-6075
Is Sole Proprietor?:No
Enumeration Date:2016-03-09
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH7478103TC2200X
OH103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent