Provider Demographics
NPI:1649660325
Name:BINAU, KATHLEEN (MS)
Entity type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:
Last Name:BINAU
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4738 KAE AVE
Mailing Address - Street 2:WHITEHALL CITY SCHOOLS
Mailing Address - City:WHITEHALL
Mailing Address - State:OH
Mailing Address - Zip Code:43213-6100
Mailing Address - Country:US
Mailing Address - Phone:614-417-5618
Mailing Address - Fax:614-417-5606
Practice Address - Street 1:4738 KAE AVE
Practice Address - Street 2:WHITEHALL CITY SCHOOLS
Practice Address - City:WHITEHALL
Practice Address - State:OH
Practice Address - Zip Code:43213-6100
Practice Address - Country:US
Practice Address - Phone:614-417-5618
Practice Address - Fax:614-417-5606
Is Sole Proprietor?:No
Enumeration Date:2015-02-02
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool