KATHLEEN BREAULT EDD NPI 1992923676

NPI Information

NPI: 1992923676
Provider Name: KATHLEEN BREAULT, EDD
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
100 SOUTH ST
SOUTHBRIDGE, MA
ZIP 01550
Phone: (508) 799-3175
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Kathleen Breault, EDD is a counselor in Southbridge, MA. The provider is 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's degree and clinical experience and supervision for licensure or certification. Kathleen Breault, EDD NPI is 1992923676. 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:

100 SOUTH ST
SOUTHBRIDGE, MA
ZIP 01550-051
Phone: (508) 799-3175

The enumeration date for this NPI number is 4/20/2007 and was last updated on 7/8/2007.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		6036	MASSACHUSETTS	Yes
2	103T00000X	Psychologist		884	MASSACHUSETTS	X
3	103TS0200X	Psychologist	School	274592	MASSACHUSETTS	X
4	1041S0200X	Social Worker	School	274592	MASSACHUSETTS	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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