Spencer, Kathryn N

Spencer, Kathryn N is an individual health care provider with primary practice located at 300 Church St Ste 204 , Wallingford CT 06492-2253. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Spencer, Kathryn N can be contacted via phone (203) 314-0940.

Contact Information

Primary practice address
300 Church St Ste 204 Wallingford CT 06492-2253
Phone: (203) 314-0940
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 7851 Connecticut
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 7851 Connecticut

Profile Details

NPI number 1578046611
LBN Legal business name Spencer, Kathryn N
Credentials DNP, APRN, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2018
Last updated Sep 8th, 2023 - about 3 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 1578046611 NPPES
Connecticut MEDICAID 008083045

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