Suddarth, Kathleen Elizabeth

Suddarth, Kathleen Elizabeth is an individual health care provider with primary practice located at 1501 42Nd St Ste 445 , West Des Moines IA 50266-1005. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Suddarth, Kathleen Elizabeth can be contacted via phone (630) 777-1265.

Contact Information

Primary practice address
1501 42Nd St Ste 445 West Des Moines IA 50266-1005
Phone: (630) 777-1265
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 124501 Iowa
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist 225A00000X 08517

Profile Details

NPI number 1588820070
LBN Legal business name Suddarth, Kathleen Elizabeth
Credentials LMSW, MT-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2008
Last updated May 20th, 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 1588820070 NPPES
Other 08517 CERTIFICATION BOARD OF MUSIC THERAPISTS

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