Provider Demographics
NPI:1811331416
Name:PFISTER, KATHARINA A
Entity type:Individual
Prefix:
First Name:KATHARINA
Middle Name:A
Last Name:PFISTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:A
Other - Last Name:PFISTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:11783 RED WATER CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89183-5656
Mailing Address - Country:US
Mailing Address - Phone:702-813-3472
Mailing Address - Fax:
Practice Address - Street 1:11783 RED WATER CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89183-5656
Practice Address - Country:US
Practice Address - Phone:702-813-3472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-25
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker