Provider Demographics
NPI:1821270059
Name:REKART, KATHLEEN NEWCOMB (PHD)
Entity Type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:NEWCOMB
Last Name:REKART
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 ROSEWOOD ST
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03087-1505
Mailing Address - Country:US
Mailing Address - Phone:603-818-3304
Mailing Address - Fax:
Practice Address - Street 1:184 MAMMOTH RD UNIT 4
Practice Address - Street 2:
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-3254
Practice Address - Country:US
Practice Address - Phone:603-818-3304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-29
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist