Woodward, Kathleen D.

Woodward, Kathleen D. is an sole proprietor health care provider with primary practice located at 58 Paulson Road , Waban MA 02468-1028. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Woodward, Kathleen D. can be contacted via phone (617) 969-8131.

Contact Information

Primary practice address
58 Paulson Road Waban MA 02468-1028
Fax: (617) 969-8131
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 102061 Massachusetts

Profile Details

NPI number 1942394416
LBN Legal business name Woodward, Kathleen D.
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942394416 NPPES
Massachusetts Other PO1160 BLUE CROSS/BLUE SHIELD
Massachusetts Other 076274 BLUE CROSS/BLUE SHIELD

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