Provider Demographics
NPI:1689789307
Name:KOHRMAN, KATHERINE E (PYS D)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:E
Last Name:KOHRMAN
Suffix:
Gender:F
Credentials:PYS D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ONE WASHINGTON AVENUE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:SANDY HOOK
Mailing Address - State:CT
Mailing Address - Zip Code:06470
Mailing Address - Country:US
Mailing Address - Phone:203-426-3306
Mailing Address - Fax:203-426-4744
Practice Address - Street 1:ONE WASHINGTON AVENUE
Practice Address - Street 2:SUITE 4
Practice Address - City:SANDY HOOK
Practice Address - State:CT
Practice Address - Zip Code:06470
Practice Address - Country:US
Practice Address - Phone:203-426-3306
Practice Address - Fax:203-426-4744
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001958103TC0700X
NY0104851103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical