KATHLEEN LICATA DODGE
NPI 1831865955
Registered Nurse - Addiction (Substance Use Disorder) in Turners Falls, MA
Active since August 18, 2021
About Kathleen Licata Dodge NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN LICATA DODGE (NPI 1831865955) is an individual addiction (substance use disorder) provider in Turners Falls, Massachusetts, licensed in Massachusetts (RN191969) and active in the NPI registry since August 2021.
NPPES Registry Identity
NPI1831865955
Entity TypeIndividualFemale
Primary Taxonomy163WA0400X
Provider Legal NameKATHLEEN LICATA DODGE
Location Address67 CROCKER AVETurners Falls, MA 01376-1925
Mailing Address67 Crocker AveTurners Falls, MA 01376-1925 · (413) 388-1952
Phone(413) 388-1952
Sole ProprietorYes
Enumeration DateAugust 18, 2021
NPPES CertifiedAugust 18, 2021
✔ NPI 1831865955 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Addiction (Substance Use Disorder)Nursing Service Providers
Taxonomy Code163WA0400X
License✔ Licensed in MA · RN191969
67 CROCKER AVE, Turners Falls, MA 01376
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831865955, enumerated as an "individual" on August 18, 2021.
The provider is located at 67 CROCKER AVE TURNERS FALLS, MA 01376 and the phone number is (413) 388-1952.
Registered Nurse with taxonomy code 163WA0400X and a focus in Addiction (Substance Use Disorder).
