Doctor Name: | PATRICIA KALEN |
NPI Number: | 1083885792 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ED.S. |
License Number: | |
Business Practice Address: | 91 Foster Sheldon Rd Wakefield, RI - 028791439 |
Business Phone Number: | 4017896092 |
Business Fax Number: | |
Mailing Address: | 91 Foster Sheldon Rd, WAKEFIELD |
State: | RI |
Postal Code: | 028791439 |
Phone Number: | 4017896092 |
Fax Number: | |
NPI Enumeration Date: | 03/20/2008 |
NPI Last Update Date: | 03/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |