Provider Demographics
NPI:1750435582
Name:MCDONALD-GILFERT, KATHLEEN ELIZABETH (MA, ATR-BC, LPC)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:ELIZABETH
Last Name:MCDONALD-GILFERT
Suffix:
Gender:F
Credentials:MA, ATR-BC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GIRARDVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17935-1718
Mailing Address - Country:US
Mailing Address - Phone:570-875-2271
Mailing Address - Fax:570-276-2098
Practice Address - Street 1:123 W MAIN ST
Practice Address - Street 2:
Practice Address - City:GIRARDVILLE
Practice Address - State:PA
Practice Address - Zip Code:17935-1718
Practice Address - Country:US
Practice Address - Phone:570-875-2271
Practice Address - Fax:570-276-2098
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004303101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional