Eden, Kathryn B

Eden, Kathryn B is an sole proprietor health care provider with primary practice located at 610 Wampanoag Trail East Bay Mental Health Center, East Providence RI 02915. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Eden, Kathryn B can be contacted via phone (401) 431-9870.

Contact Information

Primary practice address
610 Wampanoag Trail East Bay Mental Health Center East Providence RI 02915
Phone: (401) 431-9870
Fax: (401) 435-7486
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 15W01525 Rhode Island
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1021862 Massachusetts

Profile Details

NPI number 1649243981
LBN Legal business name Eden, Kathryn B
Credentials MSW LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2006
Last updated Oct 7th, 2008 - about 18 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 1649243981 NPPES
Rhode Island MEDICAID KE54562
Rhode Island Other 413914
Rhode Island Other 32118-9
Rhode Island Other 62-75119

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