Provider Demographics
NPI:1144942012
Name:NORTHAM, KATHERINE H (LPC)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:H
Last Name:NORTHAM
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5702 BAFFIN LN
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:TX
Mailing Address - Zip Code:76513-8499
Mailing Address - Country:US
Mailing Address - Phone:254-760-5514
Mailing Address - Fax:
Practice Address - Street 1:4016 S 31ST ST STE 300
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502-3348
Practice Address - Country:US
Practice Address - Phone:254-598-2266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-16
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional