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NPI Code Detail

MEDICARE: KATHRYN COULSON BA PSYCHOLOGY

MEDICARE:   KATHRYN  COULSON  BA PSYCHOLOGY
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
1106S00000XBehavior TechnicianIN

General Provider Information

NPI Number : 1245839513
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN COULSON BA PSYCHOLOGY
Provider Business Mailing Address
First Line : 2521 HACKBERRY ST APT 6
Second Line :
City : CINCINNATI
State : OH
Zip : 45206-2143
Country : US
Telephone Number : 314-435-6780
Fax Number :
Provider Business Practice Location Address
First Line : 2521 HACKBERRY ST APT 6
Second Line :
City : CINCINNATI
State : OH
Zip : 45206-2143
Country : US
Telephone Number : 314-435-6780
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2020
Last Update Date : 01/23/2026

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Directions to “ KATHRYN COULSON BA PSYCHOLOGY” Practice Location

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