Doctor Name: | MS. MARTHA CATHERINE KOHL |
NPI Number: | 1225081003 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW-R |
License Number: | R069430-1 |
Business Practice Address: | 58 Market St Brockport, NY - 144201934 |
Business Phone Number: | 5857463410 |
Business Fax Number: | 5854614904 |
Mailing Address: | 259 Mount Vernon Ave, ROCHESTER |
State: | NY |
Postal Code: | 146202449 |
Phone Number: | 5854613469 |
Fax Number: | 5854614904 |
NPI Enumeration Date: | 05/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | R069430-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |