Spencer, Kathryn N
Spencer, Kathryn N is an individual health care provider with primary practice located at 300 Church St Ste 204 , Wallingford CT 06492-2253. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Spencer, Kathryn N can be contacted via phone (203) 314-0940.Contact Information
Primary practice address
300 Church St Ste 204
Wallingford CT 06492-2253
Phone: (203) 314-0940
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 7851 | Connecticut |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 7851 | Connecticut |
Profile Details
NPI number | 1578046611 |
---|---|
LBN Legal business name | Spencer, Kathryn N |
Credentials | DNP, APRN, PMHNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 14th, 2018 |
Last updated | Sep 8th, 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 | 1578046611 | NPPES |
Connecticut | MEDICAID | 008083045 |
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