Provider Demographics
NPI:1336996370
Name:DOTSIN, KATHERINE CORMANY (MHC-LP)
Entity Type:Individual
Prefix:MISS
First Name:KATHERINE
Middle Name:CORMANY
Last Name:DOTSIN
Suffix:
Gender:F
Credentials:MHC-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:158 E 109TH ST APT 1
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-3613
Mailing Address - Country:US
Mailing Address - Phone:804-295-9941
Mailing Address - Fax:
Practice Address - Street 1:158 E 109TH ST APT 1
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-3613
Practice Address - Country:US
Practice Address - Phone:804-295-9941
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health