| Doctor Name: | DR. KATHLEENN ANN CARTY |
| NPI Number: | 1528123478 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD, MSW, LICSW |
| License Number: | ISW01152 |
| Business Practice Address: | 1james P. Murphy Highway Suite 103 West Warwick, RI - 02893 |
| Business Phone Number: | 4016150648 |
| Business Fax Number: | 4016159540 |
| Mailing Address: | 1james P. Murphy Highway, Suite 103 WEST WARWICK |
| State: | RI |
| Postal Code: | 02893 |
| Phone Number: | 4016150648 |
| Fax Number: | 4016159540 |
| NPI Enumeration Date: | 12/22/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | ISW01152 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |