Matkoski, Kathleen Mary

Matkoski, Kathleen Mary is an individual health care provider with primary practice located at 19221 36Th Avenue W. Suite 207, Lynnwood WA 98036. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Matkoski, Kathleen Mary can be contacted via phone (425) 744-0890.

Contact Information

Primary practice address
19221 36Th Avenue W. Suite 207 Lynnwood WA 98036
Phone: (425) 744-0890
Fax: (425) 482-1274
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY00002407 Washington
Behavioral Health & Social Service Providers / Counseling 103TC1900X PY00002407 Washington

Profile Details

NPI number 1205056439
LBN Legal business name Matkoski, Kathleen Mary
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2007
Last updated Jul 8th, 2007 - about 17 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 1205056439 NPPES
Washington Other 1299WE REGENCE BLUESHIELD PIN #

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