Pedersen, Kathryn A
Pedersen, Kathryn A is an individual health care provider with primary practice located at 390 River St , Springfield VT 05156-2226. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Pedersen, Kathryn A can be contacted via phone (802) 886-4500.Contact Information
Primary practice address
390 River St
Springfield VT 05156-2226
Phone: (802) 886-4500
Fax: (802) 886-4520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 9491 | North Carolina |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 068.0000365 | Vermont |
Profile Details
| NPI number | 1033280177 |
|---|---|
| LBN Legal business name | Pedersen, Kathryn A |
| Credentials | MA (2) LCMHC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 12th, 2006 |
| Last updated | Apr 26th, 2023 - about last year |
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 | 1033280177 | NPPES |
| Vermont | MEDICAID | 1006702 |
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