Provider Demographics
NPI:1659687770
Name:SHUART PIPER, KATE-ROBIN (MA)
Entity Type:Individual
Prefix:MRS
First Name:KATE-ROBIN
Middle Name:
Last Name:SHUART PIPER
Suffix:
Gender:F
Credentials:MA
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 635266
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92163-5266
Mailing Address - Country:US
Mailing Address - Phone:619-363-1109
Mailing Address - Fax:
Practice Address - Street 1:815 3RD AVE STE 306
Practice Address - Street 2:SUITE 306
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91911-1310
Practice Address - Country:US
Practice Address - Phone:619-363-1109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-26
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF74659106H00000X
CA96683106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist