Provider Demographics
NPI:1891835237
Name:O'LEARY, KATHERINE FITZPATRICK (MA)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:FITZPATRICK
Last Name:O'LEARY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:714 W 20TH AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99203-2033
Mailing Address - Country:US
Mailing Address - Phone:206-321-8921
Mailing Address - Fax:
Practice Address - Street 1:714 W 20TH AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99203-2033
Practice Address - Country:US
Practice Address - Phone:206-321-8921
Practice Address - Fax:206-480-0848
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60554367101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health