Provider Demographics
NPI:1740720424
Name:RICE, KATHLEEN (MS ED)
Entity type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:
Last Name:RICE
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:780 AMERICAN LEGION HIGHWAY
Mailing Address - Street 2:THE HOME FOR LITTLE WANDERERS
Mailing Address - City:ROSLINDALE
Mailing Address - State:MA
Mailing Address - Zip Code:02131
Mailing Address - Country:US
Mailing Address - Phone:781-540-4215
Mailing Address - Fax:617-469-8546
Practice Address - Street 1:780 AMERICAN LEGION HIGHWAY
Practice Address - Street 2:THE HOME FOR LITTLE WANDERERS
Practice Address - City:ROSLINDALE
Practice Address - State:MA
Practice Address - Zip Code:02131
Practice Address - Country:US
Practice Address - Phone:781-540-4215
Practice Address - Fax:617-469-8546
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-01
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health