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Contact Information

KATRINA F DAVIS PARHAM
497 WAUKONDA AVE
BENTON HARBOR, MI49022-3142
 Phone: 269-282-7122
 Fax: 269-926-1423
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KATRINA F DAVIS PARHAM · (Female)

NPI # 1487366076
Status Active
Credentials
Entity Individual
Enumeration date 12/15/2022
Last updated 12/20/2022 - About 3 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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