Provider Demographics
NPI:1457057952
Name:DR. KATHERINE PESCOSOLIDO LLC
Entity Type:Organization
Organization Name:DR. KATHERINE PESCOSOLIDO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:PESCOSOLIDO
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, PHD
Authorized Official - Phone:401-384-0644
Mailing Address - Street 1:27 BONNET SHORES RD
Mailing Address - Street 2:
Mailing Address - City:NARRAGANSETT
Mailing Address - State:RI
Mailing Address - Zip Code:02882-1415
Mailing Address - Country:US
Mailing Address - Phone:401-384-0644
Mailing Address - Fax:
Practice Address - Street 1:27 BONNET SHORES RD
Practice Address - Street 2:
Practice Address - City:NARRAGANSETT
Practice Address - State:RI
Practice Address - Zip Code:02882-1415
Practice Address - Country:US
Practice Address - Phone:401-384-0644
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-06
Last Update Date:2023-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty