Dutridge, Kathy Sue

Dutridge, Kathy Sue is an sole proprietor health care provider with primary practice located at 1540 W Van Buren St , Phoenix AZ 85007-2414. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Dutridge, Kathy Sue can be contacted via phone (602) 252-7330.

Contact Information

Primary practice address
1540 W Van Buren St Phoenix AZ 85007-2414
Phone: (602) 252-7330
Fax: (602) 252-4797
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC-16803 Arizona

Profile Details

NPI number 1902202567
LBN Legal business name Dutridge, Kathy Sue
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2014
Last updated Jan 9th, 2024 - about 2 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 1902202567 NPPES
Arizona Other LAC-13064 LAC LICENSE

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