Provider Demographics
NPI:1760529853
Name:MALABED, KATHERINE LAGERFELD (MS, LGC)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:LAGERFELD
Last Name:MALABED
Suffix:
Gender:F
Credentials:MS, LGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 PARNASSUS AVE STE 810
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94117-3600
Mailing Address - Country:US
Mailing Address - Phone:415-476-4080
Mailing Address - Fax:415-353-4077
Practice Address - Street 1:350 PARNASSUS AVE.
Practice Address - Street 2:SUITE 810 BOX 0705
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94134-0705
Practice Address - Country:US
Practice Address - Phone:415-476-4080
Practice Address - Fax:415-353-4077
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAGC000228170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS