Doctor Name: | DR. KATHLEEN M HART |
NPI Number: | 1114933199 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH. D. |
License Number: | PS1028 |
Business Practice Address: | 87 Woodlands Dr Falmouth, ME - 041051189 |
Business Phone Number: | 2077815445 |
Business Fax Number: | |
Mailing Address: | 87 Woodlands Dr, FALMOUTH |
State: | ME |
Postal Code: | 041051189 |
Phone Number: | 2077815445 |
Fax Number: | |
NPI Enumeration Date: | 07/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | PS1028 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |