Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | PY2686 | FL |
N | 103T00000X | Psychologist | PY2686 | FL |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | PY2686 | FL |
N | 103G00000X | Clinical Psychologist | PY2686 | FL |
N | 103TC0700X | Clinical Psychologist | PY2686 | FL |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PY2686 | FL |
N | 103TF0000X | Family Psychologist | PY2686 | FL |
N | 103TH0100X | Health Service | PY2686 | FL |
N | 103TR0400X | Rehabilitation Psychologist | PY2686 | FL |
NPI | 1225164445 |
---|---|
Provider Name | Dr. Katharine Sandell Westie |
First Address | Coral Gables, FL 33134-4237 |
Second Address | Coral Gables, FL 33134-4237 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
75709 | BLUE CROSS BLUE SHIELD (01) |