Provider Demographics
NPI:1700554821
Name:KATHY SIGDA, PHD, PLLC
Entity Type:Organization
Organization Name:KATHY SIGDA, PHD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:B
Authorized Official - Last Name:SIGDA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:520-450-5271
Mailing Address - Street 1:400 W 2ND ST STE 201
Mailing Address - Street 2:
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85122-4439
Mailing Address - Country:US
Mailing Address - Phone:520-450-5271
Mailing Address - Fax:
Practice Address - Street 1:400 W 2ND ST STE 201
Practice Address - Street 2:
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122-4439
Practice Address - Country:US
Practice Address - Phone:520-450-5271
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1356450233OtherPROVIDER NPI