Provider Demographics
NPI:1407337009
Name:SCHWABACHER, KATHERINE CLAIRE (LAC)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:CLAIRE
Last Name:SCHWABACHER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 HAWKINS WAY
Mailing Address - Street 2:
Mailing Address - City:LARKSPUR
Mailing Address - State:CA
Mailing Address - Zip Code:94939-1518
Mailing Address - Country:US
Mailing Address - Phone:415-676-1741
Mailing Address - Fax:
Practice Address - Street 1:147 LOMITA DR STE B
Practice Address - Street 2:
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-1467
Practice Address - Country:US
Practice Address - Phone:707-397-0671
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-22
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC18040171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist