Provider Demographics
NPI:1093374555
Name:VAN HOOF, KATRINA (MED)
Entity type:Individual
Prefix:
First Name:KATRINA
Middle Name:
Last Name:VAN HOOF
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 MCBATH ST
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16801-2741
Mailing Address - Country:US
Mailing Address - Phone:814-360-7392
Mailing Address - Fax:
Practice Address - Street 1:2746 W COLLEGE AVE STE B125
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-2605
Practice Address - Country:US
Practice Address - Phone:814-207-5603
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-10
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC013848101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health