Doctor Name: | KATHY I MUZZY |
NPI Number: | 1265534325 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LC4817 |
Business Practice Address: | 3 Toads End Belfast, ME - 049157328 |
Business Phone Number: | 2073389672 |
Business Fax Number: | |
Mailing Address: | 3 Toads End, BELFAST |
State: | ME |
Postal Code: | 049157328 |
Phone Number: | 2073389672 |
Fax Number: | |
NPI Enumeration Date: | 09/01/2006 |
NPI Last Update Date: | 12/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LC4817 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |