Campbell-Gaston, Katherine

Campbell-Gaston, Katherine is an individual health care provider with primary practice located at 29133 Health Campus Dr , Westlake OH 44145-5256. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Campbell-Gaston, Katherine can be contacted via phone (440) 835-6212.

Contact Information

Primary practice address
29133 Health Campus Dr Westlake OH 44145-5256
Phone: (440) 835-6212
Fax: (440) 835-6231
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X S-0001488 Ohio

Profile Details

NPI number 1003927435
LBN Legal business name Campbell-Gaston, Katherine
Credentials LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003927435 NPPES
Ohio MEDICAID 0308483

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