Provider Demographics
NPI:1962028449
Name:KIRBY, KATHERINE (MHC)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:KIRBY
Suffix:
Gender:F
Credentials:MHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:159 W 118TH ST APT 1D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10026-1855
Mailing Address - Country:US
Mailing Address - Phone:347-754-0267
Mailing Address - Fax:
Practice Address - Street 1:159 W 118TH ST APT 1D
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10026-1855
Practice Address - Country:US
Practice Address - Phone:347-754-0267
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-22
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health