Provider Demographics
NPI:1760008635
Name:FLOREK, KATHERINE RENDA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:RENDA
Last Name:FLOREK
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MISS
Other - First Name:KATHERINE
Other - Middle Name:RENDA
Other - Last Name:FLAHERTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:121 DOANE ST
Mailing Address - Street 2:
Mailing Address - City:COHASSET
Mailing Address - State:MA
Mailing Address - Zip Code:02025-1537
Mailing Address - Country:US
Mailing Address - Phone:774-219-9140
Mailing Address - Fax:
Practice Address - Street 1:2 COLLINS RD
Practice Address - Street 2:
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-2017
Practice Address - Country:US
Practice Address - Phone:781-741-1570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-17
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9531103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist