Provider Demographics
NPI:1821845728
Name:GINTER, KATHY SUE (PHD)
Entity type:Individual
Prefix:DR
First Name:KATHY
Middle Name:SUE
Last Name:GINTER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:KATHY
Other - Middle Name:SUE
Other - Last Name:BOONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:608 N NEWLIN ST
Mailing Address - Street 2:
Mailing Address - City:VEEDERSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47987-1145
Mailing Address - Country:US
Mailing Address - Phone:765-585-7001
Mailing Address - Fax:
Practice Address - Street 1:608 N NEWLIN ST
Practice Address - Street 2:
Practice Address - City:VEEDERSBURG
Practice Address - State:IN
Practice Address - Zip Code:47987-1145
Practice Address - Country:US
Practice Address - Phone:765-585-7001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-30
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39002385A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health