Organization
KATHRINE SULLIVAN-CORBETT LMHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHRINE ANNE CORBETT LMHC (OWNER)
(978) 880-8968
Entity
Organization
Contact information
Practice address
93 MAIN ST, ANDOVER, MA 01810-3847
(978) 880-8968
(978) 418-9167
Mailing address
93 MAIN ST, ANDOVER, MA 01810-3847
(978) 880-8968
(978) 418-9167
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
7168
MA
302R00000X
Health Maintenance Organization
Primary
7168
MA
305R00000X
Preferred Provider Organization
7168
MA
305S00000X
Point of Service
7168
MA
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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