Petefish, Katherine A

Petefish, Katherine A is an sole proprietor health care provider with primary practice located at 10719 Buckeye Rd , Festus MO 63028-2960. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Social Worker, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Petefish, Katherine A can be contacted via phone (314) 319-7098.

Contact Information

Primary practice address
10719 Buckeye Rd Festus MO 63028-2960
Phone: (314) 319-7098
Fax: (636) 789-9062
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180009917 Illinois
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 11517918 Iowa
Behavioral Health & Social Service Providers / Social Worker 104100000X 008326 Iowa
Agencies / Community/Behavioral Health 251S00000X Missouri
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 2015044940 Missouri

Profile Details

NPI number 1487096012
LBN Legal business name Petefish, Katherine A
Credentials LMSW, LCPC, BCBA LBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2013
Last updated May 12th, 2020 - about 5 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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