Mrs. Katelyn M Kidwell, MA, RDT, LCAT
Drama Therapist in Bloomfield, New Jersey
1770354359- Practice location
- 680 Bloomfield Ave Apt 2, Bloomfield, NJ 07003-4352
- Phone
- 862-283-0386
- Fax
- —
- Last updated
- January 11, 2024
Katelyn M Kidwell is a Drama Therapist based in Bloomfield, NJ. Katelyn M Kidwell practices in Bloomfield, NJ and has the professional credentials of MA, RDT, LCAT. The NPI Number for Katelyn M Kidwell is 1770354359 and holds a License No. 002670-01 (NY). The current practice location address for Katelyn M Kidwell is 680 Bloomfield Ave Apt 2, Bloomfield, NJ 07003-4352 and can be reached out via phone at 862-283-0386.
Provider Profile Details
- NPI Number
- 1770354359
- Provider Name
- Katelyn M Kidwell
- Credential
- MA, RDT, LCAT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 680 Bloomfield Ave Apt 2, Bloomfield, NJ 07003-4352
- Phone Number
- 862-283-0386
- Primary Taxonomy
- Drama Therapist · 101200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 11, 2024
- Last Update Date
- January 11, 2024
- Certification Date
- January 11, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 680 Bloomfield Ave Apt 2
Bloomfield, NJ 07003-4352 - City
- Bloomfield
- State
- New Jersey
- Zip
- 07003-4352
- Phone Number
- 862-283-0386
Provider Business Mailing Address Details
- Address
- 680 Bloomfield Ave Apt 2
Bloomfield, NJ 07003-4352 - City
- Bloomfield
- State
- NJ
- Zip
- 07003-4352
- Phone Number
- 862-283-0386
License Information
- License Number
- 002670-01
- License State
- NY
- Taxonomy
- Drama Therapist · 101200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Katelyn M Kidwell, MA, RDT, LCAT?
The NPI number of Mrs. Katelyn M Kidwell, MA, RDT, LCAT is 1770354359. It was assigned on January 11, 2024 and is currently active in the NPPES registry.
What is the specialty of Mrs. Katelyn M Kidwell, MA, RDT, LCAT?
Mrs. Katelyn M Kidwell, MA, RDT, LCAT is registered under the primary taxonomy Drama Therapist (code 101200000X), licensed in NY under license number 002670-01.
Where does Mrs. Katelyn M Kidwell, MA, RDT, LCAT practice?
The practice location is 680 Bloomfield Ave Apt 2, Bloomfield, NJ 07003-4352. The office can be reached at 862-283-0386 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770354359 directly on the NPPES registry website.