Provider Demographics
NPI:1730394719
Name:PARRY, KATHERINE (MSW)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:
Last Name:PARRY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:776 W. DIAGONAL # 37
Mailing Address - Street 2:
Mailing Address - City:ST. GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770
Mailing Address - Country:US
Mailing Address - Phone:435-668-0480
Mailing Address - Fax:
Practice Address - Street 1:2480 EAST RED CLIFFS DRIVE
Practice Address - Street 2:
Practice Address - City:ST. GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790
Practice Address - Country:US
Practice Address - Phone:435-673-6446
Practice Address - Fax:435-652-8020
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5931610-35021041C0700X
CAASW 213301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical