Basic Information
Provider Information
NPI: 1417526492
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HYER
FirstName: KATHERINE
MiddleName: EILEEN
NamePrefix: MRS.
NameSuffix:  
Credential: LCSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8262 WHEATLAND DR
Address2:  
City: COLORADO SPRINGS
State: CO
PostalCode: 809085696
CountryCode: US
TelephoneNumber: 6182078893
FaxNumber:  
Practice Location
Address1: 1430 COLLIER ST
Address2:  
City: AUSTIN
State: TX
PostalCode: 787042911
CountryCode: US
TelephoneNumber: 5124724357
FaxNumber: 5127031394
Other Information
ProviderEnumerationDate: 06/23/2021
LastUpdateDate: 12/19/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/19/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700XCSW.09927202CON Behavioral Health & Social Service ProvidersSocial WorkerClinical
1041C0700X63406TXY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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