Medbery, Kathy
Medbery, Kathy is an sole proprietor health care provider with primary practice located at 50 Beech Mountain Rd , Mansfield Center CT 06250-1603. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Medbery, Kathy can be contacted via phone (860) 423-8147.Contact Information
Primary practice address
50 Beech Mountain Rd
Mansfield Center CT 06250-1603
Phone: (860) 423-8147
Fax: (860) 423-8147
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 000213 | Connecticut |
Profile Details
| NPI number | 1619079399 |
|---|---|
| LBN Legal business name | Medbery, Kathy |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 2nd, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619079399 | NPPES |
| Connecticut | Other | 0007094313 | AETNA |
| Connecticut | Other | 11243562 | AETNA |
| Connecticut | Other | 240000213CT07 | AETNA |
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