Provider Demographics
NPI:1255971917
Name:SCHLAGETER, KATHERINE ALICE (PSYD)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:ALICE
Last Name:SCHLAGETER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1607
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER CENTER
Mailing Address - State:VT
Mailing Address - Zip Code:05255-1607
Mailing Address - Country:US
Mailing Address - Phone:802-379-4224
Mailing Address - Fax:
Practice Address - Street 1:5429 MAIN STREET
Practice Address - Street 2:OFFICE C-2
Practice Address - City:MANCHESTER CENTER
Practice Address - State:VT
Practice Address - Zip Code:05255
Practice Address - Country:US
Practice Address - Phone:802-379-4224
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-10
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT048.0134173103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical