Kathleen Breault, EDD
Psychologist in Southbridge, Massachusetts
1992923676- Practice location
- 100 South St, Southbridge, MA 01550-4051
- Phone
- 508-799-3175
- Fax
- —
- Last updated
- September 11, 2025
Kathleen Breault is a Psychologist based in Southbridge, MA. Kathleen Breault practices in Southbridge, MA and has the professional credentials of EDD. The NPI Number for Kathleen Breault is 1992923676 and holds a License No. 6036 (MA). The current practice location address for Kathleen Breault is 100 South St, Southbridge, MA 01550-4051 and can be reached out via phone at 508-799-3175.
Provider Profile Details
- NPI Number
- 1992923676
- Provider Name
- Kathleen Breault
- Credential
- EDD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 100 South St, Southbridge, MA 01550-4051
- Phone Number
- 508-799-3175
- Primary Taxonomy
- Psychologist · 103T00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 20, 2007
- Last Update Date
- September 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 South St
Southbridge, MA 01550-4051 - City
- Southbridge
- State
- Massachusetts
- Zip
- 01550-4051
- Phone Number
- 508-799-3175
Provider Business Mailing Address Details
- Address
- 30 Wildbrook Dr
Rutland, MA 01543-1266 - City
- Rutland
- State
- MA
- Zip
- 01543-1266
- Phone Number
- 508-886-4954
License Information
- License Number (1)
- 6036
- License State (1)
- MA
- Taxonomy (1)
- Counselor · 101Y00000X
- License Number (2)
- 884
- License State (2)
- MA
- Taxonomy (2)
- Psychologist · 103T00000X · Primary
- License Number (3)
- 274592
- License State (3)
- MA
- Taxonomy (3)
- Psychologist, School · 103TS0200X
- License Number (4)
- 274592
- License State (4)
- MA
- Taxonomy (4)
- Social Worker, School · 1041S0200X
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 Kathleen Breault, EDD?
The NPI number of Kathleen Breault, EDD is 1992923676. It was assigned on April 20, 2007 and is currently active in the NPPES registry.
What is the specialty of Kathleen Breault, EDD?
Kathleen Breault, EDD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in MA under license number 6036.
Where does Kathleen Breault, EDD practice?
The practice location is 100 South St, Southbridge, MA 01550-4051. The office can be reached at 508-799-3175 (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 1992923676 directly on the NPPES registry website.