MEDICARE: DR. KATHE A JARET PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	401	RI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	61-00184	OTHER	RI	UNITED HEALTH PROVIDER #
2	9003551	OTHER	RI	EDS PROVIDER #
3	1021280	OTHER	RI	BEACON HEALTH #
4	143452	OTHER	RI	MAGELLAN PROVIDER #
5	3551-6	OTHER	RI	RI BLUE CROSS #
6	205195	OTHER	RI	BLUE CHIP #

General Provider Information

NPI Number	:	1245240613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHE A JARET PHD

Provider Business Mailing Address
First Line	:	23 NORTH RD
Second Line	:
City	:	PEACE DALE
State	:	RI
Zip	:	02879-2176
Country	:	US
Telephone Number	:	401-789-8244
Fax Number	:

Provider Business Practice Location Address
First Line	:	23 NORTH RD
Second Line	:
City	:	PEACE DALE
State	:	RI
Zip	:	02879-2176
Country	:	US
Telephone Number	:	401-789-8244
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. KATHE A JARET PHD” Practice Location

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