Gates, Kathleen Budke

Gates, Kathleen Budke is an sole proprietor health care provider with primary practice located at 644 E Thompson Blvd , Ventura CA 93001-2829. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gates, Kathleen Budke can be contacted via phone (805) 648-2548.

Contact Information

Primary practice address
644 E Thompson Blvd Ventura CA 93001-2829
Fax: (805) 652-0745
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY 7386 California

Profile Details

NPI number 1265650816
LBN Legal business name Gates, Kathleen Budke
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2007
Last updated Feb 2nd, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265650816 NPPES
California Other PSY7386 CA STATE PSYCHOLOGIST LIC

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