Provider Demographics
NPI:1710142823
Name:HEBERT, KATINA ROREX (MS, PHD (09/08))
Entity Type:Individual
Prefix:MRS
First Name:KATINA
Middle Name:ROREX
Last Name:HEBERT
Suffix:
Gender:F
Credentials:MS, PHD (09/08)
Other - Prefix:MS
Other - First Name:KATINA
Other - Middle Name:RAQUEL
Other - Last Name:ROREX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NOT APPLICABLE
Mailing Address - Street 1:700 19TH ST S
Mailing Address - Street 2:MHC, 7TH FLOOR
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1927
Mailing Address - Country:US
Mailing Address - Phone:205-933-8101
Mailing Address - Fax:
Practice Address - Street 1:700 19TH ST S
Practice Address - Street 2:MHC, 7TH FLOOR
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1927
Practice Address - Country:US
Practice Address - Phone:205-933-8101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-29
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist