Dietz, Kathleen Elizabeth

Dietz, Kathleen Elizabeth is an sole proprietor health care provider with primary practice located at 12 Depot St , Kennebunk ME 04043-7038. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Dietz, Kathleen Elizabeth can be contacted via phone (207) 590-6658.

Contact Information

Primary practice address
12 Depot St Kennebunk ME 04043-7038
Phone: (207) 590-6658
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CC2771 Maine
Behavioral Health & Social Service Providers / Professional 101YP2500X CC2771 Maine

Profile Details

NPI number 1184950537
LBN Legal business name Dietz, Kathleen Elizabeth
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2009
Last updated Oct 20th, 2009 - about 17 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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