Provider Demographics
NPI:1720096886
Name:HARRISON, KATE (MT-BC, NMT)
Entity Type:Individual
Prefix:MRS
First Name:KATE
Middle Name:
Last Name:HARRISON
Suffix:
Gender:F
Credentials:MT-BC, NMT
Other - Prefix:MRS
Other - First Name:KATHRYN
Other - Middle Name:CARBONE
Other - Last Name:HARRISON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MT-BC, NMT FELLOW
Mailing Address - Street 1:PO BOX 7842
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77508-7842
Mailing Address - Country:US
Mailing Address - Phone:713-315-0855
Mailing Address - Fax:
Practice Address - Street 1:6333 DAWSON CREEK DRIVE
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77503
Practice Address - Country:US
Practice Address - Phone:713-315-0855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX06141225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist