Katovsich, Rebecca Bennett
Katovsich, Rebecca Bennett is an individual health care provider with primary practice located at 903 Main St , Saint Joseph MI 49085-1426. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Katovsich, Rebecca Bennett can be contacted via phone (269) 985-2000.Contact Information
Primary practice address
903 Main St
Saint Joseph MI 49085-1426
Phone: (269) 985-2000
Fax: (269) 985-2002
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 6801080778 | Michigan |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301013818 | Michigan |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801080778 | Michigan |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 6301013818 | Michigan |
Profile Details
NPI number | 1063512671 |
---|---|
LBN Legal business name | Katovsich, Rebecca Bennett |
Credentials | PHD, LLP, LMSW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 24th, 2006 |
Last updated | Feb 13th, 2009 - about 16 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 | 1063512671 | NPPES |
Michigan | Other | RK080778 | BLUE CROSS BLUE SHIELD |
Michigan | Other | 8008979580 | BLUE CROSS BLUE SHIELD |
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