Provider Demographics
NPI:1326671041
Name:DOYLE, KATHRYN ELIZABETH (CAPSW, SAC-IT)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:ELIZABETH
Last Name:DOYLE
Suffix:
Gender:F
Credentials:CAPSW, SAC-IT
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:ELIZABETH
Other - Last Name:MAYKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:725 HEARTLAND TRL STE 301
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53717-1978
Mailing Address - Country:US
Mailing Address - Phone:608-205-4450
Mailing Address - Fax:608-205-4450
Practice Address - Street 1:725 HEARTLAND TRL STE 301
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53717-1978
Practice Address - Country:US
Practice Address - Phone:608-205-4450
Practice Address - Fax:608-205-4450
Is Sole Proprietor?:No
Enumeration Date:2020-02-20
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI18907-130101YA0400X
WI131431-121104100000X
WI99321231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker