Provider Demographics
NPI:1659437879
Name:SEWARD, KATHLEEN RUTH (MA)
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:RUTH
Last Name:SEWARD
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 ELM ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02019-2008
Mailing Address - Country:US
Mailing Address - Phone:508-298-9705
Mailing Address - Fax:
Practice Address - Street 1:17 ELM ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02019-2008
Practice Address - Country:US
Practice Address - Phone:508-298-9705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1325101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health