Doctor Name: | KATHERINE ELIZABETH BOX |
NPI Number: | 1063570950 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LSX9781 |
Business Practice Address: | 1295 Atlantic Hwy. Northport, ME - 048493600 |
Business Phone Number: | 2074707090 |
Business Fax Number: | 2074707094 |
Mailing Address: | 1295 Atlantic Hwy, NORTHPORT |
State: | ME |
Postal Code: | 048493600 |
Phone Number: | 2074707090 |
Fax Number: | 2074707094 |
NPI Enumeration Date: | 12/05/2006 |
NPI Last Update Date: | 03/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LSX9781 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |