Provider Demographics
NPI:1518121573
Name:BUTTON, KATHERINE PATRICIA (MSC)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:PATRICIA
Last Name:BUTTON
Suffix:
Gender:F
Credentials:MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 BROCK STREET
Mailing Address - Street 2:
Mailing Address - City:SIMCOE
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:N3Y 4N8
Mailing Address - Country:CA
Mailing Address - Phone:914-819-7752
Mailing Address - Fax:
Practice Address - Street 1:5755 COTTLE RD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95123-3640
Practice Address - Country:US
Practice Address - Phone:408-972-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-17
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS