Provider Demographics
NPI:1336385491
Name:WINGFIELD, KATHRYN ANNE (MA)
Entity Type:Individual
Prefix:MISS
First Name:KATHRYN
Middle Name:ANNE
Last Name:WINGFIELD
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 CALVERT ST
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:RI
Mailing Address - Zip Code:02840-2621
Mailing Address - Country:US
Mailing Address - Phone:401-846-9166
Mailing Address - Fax:
Practice Address - Street 1:4 CALVERT ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:RI
Practice Address - Zip Code:02840-2621
Practice Address - Country:US
Practice Address - Phone:401-846-9166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-19
Last Update Date:2008-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor