Provider Demographics
NPI:1407148240
Name:SOWARDS, KATHRYN A (PHD LMFT)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:A
Last Name:SOWARDS
Suffix:
Gender:F
Credentials:PHD LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 ALLEN ST
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13210-2667
Mailing Address - Country:US
Mailing Address - Phone:315-382-6427
Mailing Address - Fax:
Practice Address - Street 1:601 ALLEN ST
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210-2667
Practice Address - Country:US
Practice Address - Phone:315-382-6427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-12
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000762106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist