Katrina Breen
Individual provider Active NPI Specialist · Southbridge, MA
NPI 1598089179 · NPPES record last updated Mar 25, 2010
Key facts
- NPI
- 1598089179
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 486 Worcester St
Kennedy Donovan Center
Southbridge, MA 01550-1386 - Phone
- (508) 765-0292
- NPI assigned
- Mar 25, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kennedy Donovan Center | Specialist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
486 Worcester St
Kennedy Donovan Center
Southbridge, MA 01550-1386
Mailing address
486 Worcester St
Kennedy Donovan Center
Southbridge, MA 01550-1386
Phone (508) 765-0292
Other providers in Southbridge, MA
- Lannaya Danielle Brandt
- Kathleen Breault
- Daniel Brechner
- Donald P Brechner
- Julianne Brechtl
- Cheryl Annette Briggs
- Jochebed Brochu
- Joelle Christine Brohen
- Aimee Laure Brunelle
- Anita Bullard
All providers in Southbridge, MA · Specialist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.