Provider Demographics
NPI:1629477724
Name:BELEN, KATRINA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:KATRINA
Middle Name:
Last Name:BELEN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1482
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-8153
Mailing Address - Country:US
Mailing Address - Phone:786-315-6655
Mailing Address - Fax:888-974-0364
Practice Address - Street 1:1404 GABLES CT STE 102
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-7647
Practice Address - Country:US
Practice Address - Phone:214-548-4803
Practice Address - Fax:888-974-0364
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-14
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34982103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX374230Medicare PIN