Provider Demographics
NPI:1669671103
Name:WASHINGTON, KATHERINE TAYLOR (PHD)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:TAYLOR
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:723 DELAWARE ST
Mailing Address - Street 2:MC 1910
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-4504
Mailing Address - Country:US
Mailing Address - Phone:303-602-3438
Mailing Address - Fax:303-602-3430
Practice Address - Street 1:723 DELAWARE ST
Practice Address - Street 2:MC 1910
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-4504
Practice Address - Country:US
Practice Address - Phone:303-602-3438
Practice Address - Fax:303-602-3430
Is Sole Proprietor?:No
Enumeration Date:2007-07-14
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2174103T00000X
CO3957103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist