Provider Demographics
NPI:1801204037
Name:JUNK, KATE (PHD)
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:
Last Name:JUNK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9105 NORTHPARK DR
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:IA
Mailing Address - Zip Code:50131-4807
Mailing Address - Country:US
Mailing Address - Phone:515-984-0225
Mailing Address - Fax:515-984-0226
Practice Address - Street 1:9105 NORTHPARK DR
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:IA
Practice Address - Zip Code:50131-4807
Practice Address - Country:US
Practice Address - Phone:515-984-0225
Practice Address - Fax:515-984-0226
Is Sole Proprietor?:No
Enumeration Date:2014-07-31
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA000623103TC1900X
IA001295103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling