Provider Demographics
NPI:1134539695
Name:SHAND, KATHERINE (MFT)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:SHAND
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10803 BILL POINT VW NE STE 1B
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98110-2181
Mailing Address - Country:US
Mailing Address - Phone:805-704-2129
Mailing Address - Fax:
Practice Address - Street 1:1399 YGNACIO VALLEY RD
Practice Address - Street 2:STE 1B
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-2884
Practice Address - Country:US
Practice Address - Phone:925-212-3939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-05
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF61078667106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist