Dezenzo, Kathleen J
Dezenzo, Kathleen J is an individual health care provider with primary practice located at 31 Hall Dr Amherst Medical Center, Amherst MA 01002-2751. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dezenzo, Kathleen J can be contacted via phone (413) 256-8561.Contact Information
Primary practice address
31 Hall Dr Amherst Medical Center
Amherst MA 01002-2751
Phone: (413) 256-8561
Fax: (413) 256-4412
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 106680 | Massachusetts |
Profile Details
| NPI number | 1952385395 |
|---|---|
| LBN Legal business name | Dezenzo, Kathleen J |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2005 |
| Last updated | Apr 21st, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952385395 | NPPES |
| Massachusetts | Other | P04647 | BLUE CROSS BLUE SHIELD |
| Massachusetts | Other | 1293395 | BLUE CROSS BLUE SHIELD |
| Massachusetts | Other | 7337314 | BLUE CROSS BLUE SHIELD |
| Massachusetts | Other | 2072422 | BLUE CROSS BLUE SHIELD |
| Massachusetts | Other | 106680 | BLUE CROSS BLUE SHIELD |
| Massachusetts | Other | 28435 | BLUE CROSS BLUE SHIELD |
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