Nicholson, Katharine Macy

Nicholson, Katharine Macy is an individual health care provider with primary practice located at 127 W State St , Ithaca NY 14850-5474. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Nicholson, Katharine Macy can be contacted via phone (607) 273-7494.

Contact Information

Primary practice address
127 W State St Ithaca NY 14850-5474
Phone: (607) 273-7494
Fax: (607) 273-7484
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1578845822
LBN Legal business name Nicholson, Katharine Macy
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2011
Last updated Jan 29th, 2015 - about 10 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 1578845822 NPPES
New York MEDICAID 1336163963

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