DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KATHERINE THOMAS FORTENBERRY, PH.D.

Active Sole Proprietor

Clinical Psychologist · SALT LAKE CITY, UT

Registration Details

NPI Number
1982902185
Provider Type
Individual
Gender
Female
NPI Issued
Mar 11, 2011 (15.112869029875 yrs)
Last Updated
Oct 28, 2021
Licenses
50871 (MS)
50871 (MS)
8106647-2501 (UT)
8106647-2501 (UT)
Sole Proprietor
Yes

Practice Information

Address
375 CHIPETA WAY
SUITE A
SALT LAKE CITY, UT, 841081260
Browse UT providers · Browse ZIP 84108
Phone
8015873379
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Clinical Psychologist
Additional Specialty
Health Psychologist
Additional Specialty
Clinical Psychologist

Other Clinical Psychologist Providers in SALT LAKE CITY, UT

Name Credential NPI
DR. CHRIS K WEHL PH.D. 1184619561
DR. ELIZABETH ANN EARLE PH.D. 1558351007
MR. JAMES D. RICCIARDI PSY.D. 1659355790
DR. JOHN LAWRENCE MALOUF PH.D. 1104801620
DR. JESSE GORA PSY.D. 1386629376
DR. BARBARA T. LIEBRODER PH.D. 1144206707
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.