Provider Demographics
NPI:1437567195
Name:BIGGS, KATHRYN KEHOE (LCSW, PHD)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:KEHOE
Last Name:BIGGS
Suffix:
Gender:F
Credentials:LCSW, PHD
Other - Prefix:DR
Other - First Name:KATHRYN
Other - Middle Name:
Other - Last Name:KEHOE-BIGGS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:100 IDEN AVE
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:NY
Mailing Address - Zip Code:10803-2123
Mailing Address - Country:US
Mailing Address - Phone:914-420-9173
Mailing Address - Fax:
Practice Address - Street 1:100 IDEN AVE
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:NY
Practice Address - Zip Code:10803-2123
Practice Address - Country:US
Practice Address - Phone:914-420-9173
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-25
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR051177-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYR051177-1OtherLICENSE NUMBER