Doctor Name: | MS. KATHLEEN KANE-COLETTA |
NPI Number: | 1629211313 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | |
Business Practice Address: | 75 Grand Ave Massapequa, NY - 117584905 |
Business Phone Number: | 5167993203 |
Business Fax Number: | |
Mailing Address: | 75 Grand Ave, MASSAPEQUA |
State: | NY |
Postal Code: | 117584905 |
Phone Number: | 5167993203 |
Fax Number: | |
NPI Enumeration Date: | 04/11/2009 |
NPI Last Update Date: | 09/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |