Provider Demographics
NPI:1295839926
Name:TOOMBS, KATHLEEN (LMFT,DAPA)
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:
Last Name:TOOMBS
Suffix:
Gender:F
Credentials:LMFT,DAPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:734A QUINNIPIAC LN
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06614-8385
Mailing Address - Country:US
Mailing Address - Phone:203-273-8282
Mailing Address - Fax:203-273-8282
Practice Address - Street 1:734A QUINNIPIAC LN
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06614-8385
Practice Address - Country:US
Practice Address - Phone:203-273-8282
Practice Address - Fax:203-273-8282
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000672101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health