Provider Demographics
NPI:1881425312
Name:MOLITOR, KATIE JOY
Entity type:Individual
Prefix:MRS
First Name:KATIE
Middle Name:JOY
Last Name:MOLITOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10900 MANCHESTER RD STE 207
Mailing Address - Street 2:
Mailing Address - City:KIRKWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63122-1200
Mailing Address - Country:US
Mailing Address - Phone:314-288-4273
Mailing Address - Fax:
Practice Address - Street 1:10900 MANCHESTER RD STE 207
Practice Address - Street 2:
Practice Address - City:KIRKWOOD
Practice Address - State:MO
Practice Address - Zip Code:63122-1200
Practice Address - Country:US
Practice Address - Phone:314-288-4273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-07
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health