Haskew, Kathryn Elizabeth

Haskew, Kathryn Elizabeth is an individual health care provider with primary practice located at 2433 E Adobe St , Mesa AZ 85213-6899. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Haskew, Kathryn Elizabeth can be contacted via phone (480) 472-2054.

Contact Information

Primary practice address
2433 E Adobe St Mesa AZ 85213-6899
Phone: (480) 472-2054
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1861531717
LBN Legal business name Haskew, Kathryn Elizabeth
Credentials MS, CAGS, NCSP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Jul 8th, 2007 - about 18 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 1861531717 NPPES
Arizona MEDICAID 805301

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