Provider Demographics
NPI:1245997873
Name:KANE, MARGARET BETH
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:BETH
Last Name:KANE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 CHESTNUT ST APT 41
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01609-2847
Mailing Address - Country:US
Mailing Address - Phone:401-632-1192
Mailing Address - Fax:
Practice Address - Street 1:35 S COUNTY COMMONS WAY
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:RI
Practice Address - Zip Code:02879-8240
Practice Address - Country:US
Practice Address - Phone:401-304-9704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-18
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health