Otoole, Kathleen M
Otoole, Kathleen M is an individual health care provider with primary practice located at 1001 Johnson Ferry Rd Ne , Atlanta GA 30342. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Otoole, Kathleen M can be contacted via phone (404) 250-2849.Contact Information
Primary practice address
1001 Johnson Ferry Rd Ne
Atlanta GA 30342
Phone: (404) 250-2849
Fax: (404) 250-2939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 001931 | Georgia |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 001931 | Georgia |
Profile Details
| NPI number | 1114967759 |
|---|---|
| LBN Legal business name | Otoole, Kathleen M |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1114967759 | NPPES |
| Georgia | MEDICAID | 00706329A |
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