Provider Demographics
NPI:1942452826
Name:KALOTSCHKE, ANNMARIE (MS, MHC)
Entity Type:Individual
Prefix:MRS
First Name:ANNMARIE
Middle Name:
Last Name:KALOTSCHKE
Suffix:
Gender:F
Credentials:MS, MHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 N PLANK RD STE S-2
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-2137
Mailing Address - Country:US
Mailing Address - Phone:914-419-0528
Mailing Address - Fax:845-236-3695
Practice Address - Street 1:34 N PLANK RD STE S-2
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-2137
Practice Address - Country:US
Practice Address - Phone:914-419-0528
Practice Address - Fax:845-236-3695
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-22
Last Update Date:2019-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY67675101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY004557-1OtherNYS LICENSE NUMBER