Breault, Kathleen

Breault, Kathleen is an individual health care provider with primary practice located at 100 South St , Southbridge MA 01550-4051. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Breault, Kathleen can be contacted via phone (508) 799-3175.

Contact Information

Primary practice address
100 South St Southbridge MA 01550-4051
Phone: (508) 799-3175
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 6036 Massachusetts
Behavioral Health & Social Service Providers / Psychologist 103T00000X 884 Massachusetts
Behavioral Health & Social Service Providers / School 103TS0200X 274592 Massachusetts
Behavioral Health & Social Service Providers / School 1041S0200X 274592 Massachusetts

Profile Details

NPI number 1992923676
LBN Legal business name Breault, Kathleen
Credentials EDD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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