Provider Demographics
NPI:1891855573
Name:ARMATA, KATHLEEN J (LMFT)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:J
Last Name:ARMATA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:KATHLEEN
Other - Middle Name:J
Other - Last Name:DREYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3 EMERSON LN
Mailing Address - Street 2:
Mailing Address - City:GRANBY
Mailing Address - State:CT
Mailing Address - Zip Code:06035-2713
Mailing Address - Country:US
Mailing Address - Phone:860-653-7741
Mailing Address - Fax:
Practice Address - Street 1:59-61 RAINBOW ROAD
Practice Address - Street 2:
Practice Address - City:EAST GRANBY
Practice Address - State:CT
Practice Address - Zip Code:06026
Practice Address - Country:US
Practice Address - Phone:860-462-0085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000710101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health