Provider Demographics
NPI:1740463843
Name:KAISER, KATHRYN E (ADVANCED CASAC)
Entity type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:E
Last Name:KAISER
Suffix:
Gender:F
Credentials:ADVANCED CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3011 CLOVERBANK RD UNIT 46
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-3461
Mailing Address - Country:US
Mailing Address - Phone:716-378-0778
Mailing Address - Fax:716-282-1238
Practice Address - Street 1:3011 CLOVERBANK RD UNIT 46
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075-3461
Practice Address - Country:US
Practice Address - Phone:716-378-0778
Practice Address - Fax:716-282-1238
Is Sole Proprietor?:No
Enumeration Date:2007-12-11
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health