O'Connell, Kathryn Ruth

O'Connell, Kathryn Ruth is an sole proprietor health care provider with primary practice located at 170 Intrepid Ln , Syracuse NY 13205-2545. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. O'Connell, Kathryn Ruth can be contacted via phone (315) 492-4899.

Contact Information

Primary practice address
170 Intrepid Ln Syracuse NY 13205-2545
Phone: (315) 492-4899
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 002419-1 New York

Profile Details

NPI number 1467596296
LBN Legal business name O'Connell, Kathryn Ruth
Credentials MS, CRC, LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 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 1467596296 NPPES
New York MEDICAID 02046257

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