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
Phone: (805) 648-2548
Fax: (805) 652-0745
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1265650816 | NPPES |
California | Other | PSY7386 | CA STATE PSYCHOLOGIST LIC |
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