Provider Demographics
NPI:1255790093
Name:TOBIN, KATE (MED)
Entity type:Individual
Prefix:
First Name:KATE
Middle Name:
Last Name:TOBIN
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:189 CONGRESS ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-1542
Mailing Address - Country:US
Mailing Address - Phone:617-833-5979
Mailing Address - Fax:
Practice Address - Street 1:251 W CENTRAL ST
Practice Address - Street 2:SUITE 25
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-3758
Practice Address - Country:US
Practice Address - Phone:617-833-5979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-22
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health