Roy, Kathleen Marie
Roy, Kathleen Marie is an individual health care provider with primary practice located at 2100 Goshen Rd , Fort Wayne IN 46808-1493. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Roy, Kathleen Marie can be contacted via phone (260) 471-3500.Contact Information
Primary practice address
2100 Goshen Rd
Fort Wayne IN 46808-1493
Phone: (260) 471-3500
Fax: (260) 471-4263
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20041032A | Indiana |
Profile Details
| NPI number | 1578550513 |
|---|---|
| LBN Legal business name | Roy, Kathleen Marie |
| Credentials | HSPP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Nov 19th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578550513 | NPPES |
| Indiana | MEDICAID | 200100610A |
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