MRS. KATHLEEN MARIE D'FANTIS LPC MT-BC NPI 1275914764

NPI Information

MRS. Kathleen Marie D'fantis, LPC, MT-BC is a mental health counselor in Middleburg Heights, OH. MRS. Kathleen Marie D'fantis, LPC, MT-BC NPI is 1275914764. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

16600 W SPRAGUE RD
SUITE 245
MIDDLEBURG HEIGHTS, OH
ZIP 44130-318
Phone: (440) 523-0370

The NPI 1275914764 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/10/2015 and was last updated on 6/20/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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