Kathleen Breault, EDD is a
Social Worker - School based in Southbridge, Massachusetts. Kathleen Breault is licensed to practice in Massachusetts (license number 274592) and her current practice location is
100 South St, Southbridge, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(508) 799-3175.
NPI number for Kathleen Breault is 1992923676 and her current mailing address is 30 Wildbrook Dr, Rutland, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992923676.
Healthcare Provider's Profile
| Full Name | Kathleen Breault |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - School |
|---|
| Location | 100 South St, Southbridge, Massachusetts |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1992923676
- Provider Enumeration Date: 04/20/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Kathleen Breault such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992923676 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 6036 (Massachusetts) | Primary |
| 103T00000X | Psychologist | 884 (Massachusetts) | Primary |
| 103TS0200X | Psychologist - School | 274592 (Massachusetts) | Primary |
| 1041S0200X | Social Worker - School | 274592 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen Breault is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kathleen Breault, EDD
30 Wildbrook Dr,
Rutland, MA 01543-1266
Ph: (508) 886-4954 | Kathleen Breault, EDD
100 South St,
Southbridge, MA 01550-4051
Ph: (508) 799-3175 |
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