Katharine Susan Adams, PHD
Individual provider Active NPI Psychologist · Valdosta, GA
NPI 1093379786 · NPPES record last updated Apr 28, 2019
Key facts
- NPI
- 1093379786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- PSY003423 (GA)
- Practice address
- 2236 Bemiss Rd
Valdosta, GA 31602-1942 - Phone
- (229) 474-9800
- NPI assigned
- Apr 28, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC010271 | GA | MD | Professional Counselor |
| PSY003423 | GA | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC010271 | GA | |
| Psychologist | 103T00000X | PSY003423 | GA | Yes |
Addresses
Primary practice location
2236 Bemiss Rd
Valdosta, GA 31602-1942
Mailing address
951 S Broadway St
Lake Park, GA 31636-2744
Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.