Fackina, Kathryn Elizabeth

Fackina, Kathryn Elizabeth is an sole proprietor health care provider with primary practice located at 210 Old Colony Ave , South Boston MA 02127-2413. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Fackina, Kathryn Elizabeth can be contacted via phone (617) 268-5000.

Contact Information

Primary practice address
210 Old Colony Ave South Boston MA 02127-2413
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1417462169
LBN Legal business name Fackina, Kathryn Elizabeth
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2017
Last updated Dec 4th, 2017 - about 7 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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