Siegenthaler, Kathleen
Siegenthaler, Kathleen is an sole proprietor health care provider with primary practice located at 9728 E Mcnelly Rd , Bentonville AR 72712-8548. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Siegenthaler, Kathleen can be contacted via phone (479) 544-1062.Contact Information
Primary practice address
9728 E Mcnelly Rd
Bentonville AR 72712-8548
Phone: (479) 544-1062
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2004011135 | Missouri |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1073-C | Arkansas |
Profile Details
| NPI number | 1619942539 |
|---|---|
| LBN Legal business name | Siegenthaler, Kathleen |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | May 30th, 2019 - about 6 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 | 1619942539 | NPPES |
| Missouri | MEDICAID | 499409845 |
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