Provider Demographics
NPI:1992188643
Name:DAY REINLEITNER, KATHERINE M (PHD)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:M
Last Name:DAY REINLEITNER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8299 161ST AVE NE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-3860
Mailing Address - Country:US
Mailing Address - Phone:425-404-2422
Mailing Address - Fax:425-406-6876
Practice Address - Street 1:8299 161ST AVE NE
Practice Address - Street 2:SUITE 103
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-3860
Practice Address - Country:US
Practice Address - Phone:425-404-2422
Practice Address - Fax:425-406-6876
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-30
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00000518103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical