Provider Demographics
NPI:1891133732
Name:WEBB, KATHERINE D
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:D
Last Name:WEBB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 SOUTH 10 STREET SUITE A
Mailing Address - Street 2:SUITE A
Mailing Address - City:HAINES CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33844
Mailing Address - Country:US
Mailing Address - Phone:321-442-6665
Mailing Address - Fax:
Practice Address - Street 1:360 SOUTH 10 STREET SUITE A
Practice Address - Street 2:SUITE A
Practice Address - City:HAINES CITY
Practice Address - State:FL
Practice Address - Zip Code:33844
Practice Address - Country:US
Practice Address - Phone:321-442-6665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-13
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health