| Catharina Kang Pc | |
|
4699 Harrison Blvd Ste 301 Ogden UT 84403-4396 | |
| (801) 475-0712 | |
| (801) 475-7139 |
| Full Name | Catharina Kang Pc |
|---|---|
| Speciality | Psychologist |
| Location | 4699 Harrison Blvd, Ogden, Utah |
| Authorized Official Name and Position | Catharina H Kang (PSYCHOLOGIST) |
| Authorized Official Contact | 8015939223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catharina Kang Pc Po Box 1529 Layton UT 84041-6529 Ph: (801) 593-9223 | Catharina Kang Pc 4699 Harrison Blvd Ste 301 Ogden UT 84403-4396 Ph: (801) 475-0712 |
| NPI Number | 1386941425 |
|---|---|
| Provider Enumeration Date | 02/25/2011 |
| Last Update Date | 04/19/2011 |
| Medicare PECOS PAC ID | 5496930307 |
|---|---|
| Medicare Enrollment ID | O20110419000537 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386941425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 3539922501 (Utah) | Primary |
| Provider Name | Catharina H Kang |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609927466 PECOS PAC ID: 8022059278 Enrollment ID: I20050518000175 |
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