Doctor Name: | KATHRYN A KING |
NPI Number: | 1093724114 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | 003198 |
Business Practice Address: | 1078 Main St Unit 4 Branford, CT - 064053716 |
Business Phone Number: | 2034836096 |
Business Fax Number: | |
Mailing Address: | 22 Sagamore Cove Rd, BRANFORD |
State: | CT |
Postal Code: | 064055020 |
Phone Number: | 2034836096 |
Fax Number: | |
NPI Enumeration Date: | 08/07/2006 |
NPI Last Update Date: | 02/05/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 003198 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |