Individual
KATHLEEN LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS. LMFT
Contact information
Practice address
24 SALT POND RD STE B4, WAKEFIELD, RI 02879-4320
(401) 788-9500
(401) 788-9500
Mailing address
71 WILD FLOWER TRL, WAKEFIELD, RI 02879-1437
(401) 788-9500
(401) 788-9500
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
054
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22379-7
BLUE CROSS BLUE SHIELD RI
RI
01
—
62-51957
UNITED HEALTH CARE
RI
05
—
KL56146
—
RI
Enumeration date
07/29/2006
Last updated
02/08/2024
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