Kathleen Anne Kuron, PHD, LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301012574 Issued in MI

Practice address

19120 Cass Ave
Chippewa Valley Schools - Special Services DPT
Clinton Township, MI 48038-2301

Phone

(586) 723-2194

Fax

(586) 723-5801

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kathleen Anne Peterson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301616000000",
    "number": "1154432730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28000 DEQUINDRE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480922468",
            "telephone_number": "586-753-0405",
            "fax_number": "586-753-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19120 CASS AVE",
            "address_2": "CHIPPEWA VALLEY SCHOOLS - SPECIAL SERVICES DPT",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480382301",
            "telephone_number": "586-723-2194",
            "fax_number": "586-723-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURON",
        "first_name": "KATHLEEN",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PHD, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301012574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "PETERSON",
            "middle_name": "ANNE",
            "credential": "PHD, LLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Chelsea Kunert, PT, DPT
• Abby Ann Kunitsky, DO
• Jacquelina Kupchick
• Debra Koepele Kuptz, MT-BC
• Jennie Kurien
• Deanna Kuznia, CCC-SLP
• La Weiman, LPC, PLLC
• Kendall Labonty
• Russell Joseph Lacelle II, LVT, CORPORAL
• Denise Lacy

• Psychologist in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.