NPI 1386988079 · live from the CMS NPI Registry
Katherine Marie Barteck, Psy.D.
Psychologist in Johnson City, TN. National Provider Identifier 1386988079, active.
NPI record
| NPI | 1386988079 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 508 E Unaka Ave, Johnson City, TN 37601 |
| Practice phone | 423-449-9146 |
| Enumerated | November 19, 2012 |
| Last updated | April 27, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | — |
| Psychologist, Clinical | 103TC0700X | 3143 (TN) |
| Psychologist primary | 103T00000X | 3143 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.