| Doctor Name: | MS. KATHLEEN PRA |
| NPI Number: | 1043646896 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MMF |
| License Number: | |
| Business Practice Address: | 1200a Hempstead Tpke Franklin Square, NY - 110101523 |
| Business Phone Number: | 5163281717 |
| Business Fax Number: | 5163281627 |
| Mailing Address: | 1200a Hempstead Tpke, FRANKLIN SQUARE |
| State: | NY |
| Postal Code: | 110101523 |
| Phone Number: | 5163281717 |
| Fax Number: | 5163281627 |
| NPI Enumeration Date: | 09/24/2013 |
| NPI Last Update Date: | 09/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |