Provider Demographics
NPI:1265747471
Name:BRAMSTEDT, KATRINA ANDREA (PHD)
Entity type:Individual
Prefix:DR
First Name:KATRINA
Middle Name:ANDREA
Last Name:BRAMSTEDT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 SOUTH MAIN STREET
Mailing Address - Street 2:SUTIE 3000
Mailing Address - City:SHERIDAN
Mailing Address - State:WY
Mailing Address - Zip Code:82801
Mailing Address - Country:US
Mailing Address - Phone:415-754-9892
Mailing Address - Fax:
Practice Address - Street 1:203 SOUTH MAIN STREET
Practice Address - Street 2:SUTIE 3000
Practice Address - City:SHERIDAN
Practice Address - State:WY
Practice Address - Zip Code:82801
Practice Address - Country:US
Practice Address - Phone:415-754-9892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-11
Last Update Date:2018-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174V00000XOther Service ProvidersClinical Ethicist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No174H00000XOther Service ProvidersHealth Educator