Provider Demographics
NPI:1932437787
Name:KATHARINE L VILA, PH.D.
Entity Type:Organization
Organization Name:KATHARINE L VILA, PH.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHARINE
Authorized Official - Middle Name:L
Authorized Official - Last Name:VILA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:415-820-1414
Mailing Address - Street 1:1801 BUSH ST STE 131C
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-5273
Mailing Address - Country:US
Mailing Address - Phone:415-820-1414
Mailing Address - Fax:
Practice Address - Street 1:1801 BUSH ST STE 131C
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-5273
Practice Address - Country:US
Practice Address - Phone:415-820-1414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-04
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY22345103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty