Provider Demographics
NPI:1790183200
Name:BREE, KATHLEEN DEVINE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:DEVINE
Last Name:BREE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:KATE
Other - Middle Name:
Other - Last Name:BREE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:PO BOX 13771
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85267-3771
Mailing Address - Country:US
Mailing Address - Phone:480-960-1110
Mailing Address - Fax:480-781-4891
Practice Address - Street 1:8151 E EVANS RD STE 10
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-3648
Practice Address - Country:US
Practice Address - Phone:480-960-1110
Practice Address - Fax:480-781-4891
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-15
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4569103TC2200X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Single Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologist