Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 20040963 | IN |
N | 103TC0700X | Clinical Psychologist | 20040963 | IN |
Y | 103G00000X | Clinical Psychologist | 20040963A | IN |
Y | 103TC0700X | Clinical Psychologist | 20040963A | IN |
N | 103G00000X | Clinical Psychologist | 6301010809 | MI |
N | 103TC0700X | Clinical Psychologist | 6301010809 | MI |
N | 103TS0200X | School Psychologist | 914179 | IN |
NPI | 1083647168 |
---|---|
Provider Name | Dr. Kathryn T Huls |
First Address | Valparaiso, IN 46383-5852 |
Second Address | Hobart, IN 46342-7068 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2006 |
Last Update Date | 24/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200185670 | (05) | IN |