Douglas, Kathleen
Douglas, Kathleen is an individual health care provider with primary practice located at Fleet & Family Support Center Box 93 Navsubasenlon, Groton CT 06349-5093. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Douglas, Kathleen can be contacted via phone (860) 694-4961.Contact Information
Primary practice address
Fleet & Family Support Center Box 93 Navsubasenlon
Groton CT 06349-5093
Phone: (860) 694-4961
Fax: (860) 694-4018
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 006591 | Connecticut |
Profile Details
| NPI number | 1285649111 |
|---|---|
| LBN Legal business name | Douglas, Kathleen |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2006 |
| Last updated | Apr 9th, 2009 - about 15 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 | 1285649111 | NPPES |
| Connecticut | Other | 006591 | LCSW |
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