Provider Demographics
NPI:1205024072
Name:DOYLE, KATHERINE ANN (MFT)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:ANN
Last Name:DOYLE
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1417 NW 54TH ST STE 402
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-3576
Mailing Address - Country:US
Mailing Address - Phone:206-257-7122
Mailing Address - Fax:206-257-7122
Practice Address - Street 1:1417 NW 54TH ST STE 402
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-3576
Practice Address - Country:US
Practice Address - Phone:206-257-7122
Practice Address - Fax:206-257-7122
Is Sole Proprietor?:No
Enumeration Date:2007-10-05
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF60235785106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist