Kathleen A Petruska in Southborough - Psychiatry
Kathleen A Petruska - NPI 1306893045
Kathleen A Petruska is a Psychiatry in Southborough, Massachusetts. Kathleen A Petruska practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Kathleen A Petruska is 1306893045. The last update date is 2020-12-03.
Kathleen A Petruska's current location address is 12 Ashley Rd, Southborough, Massachusetts. You can contact this provider via phone number 6177845949. The mailing address for Kathleen A Petruska is 12 Ashley Rd, Southborough, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen A Petruska |
|---|---|
| Address | 12 Ashley Rd, Southborough, Massachusetts |
| Phone Number | 6177845949 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1306893045 |
|---|---|
| Provider Enumeration Date | 2006-05-28 |
| Last Updated Date | 2020-12-03 |
Provider Mailing Address Detail
| Address | 12 Ashley Rd |
|---|---|
| City | Southborough |
| State | Massachusetts (MA) |
| Post Code | 17721816 |
| Phone Number | 6177845949 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 205138 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110127328A | MA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kathleen A Petruska by the Centers for Medicare & Medicaid Services?
The Kathleen A Petruska has been assigned the NPI (National Provider Identifier) 1306893045. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kathleen A Petruska is located?
The Kathleen A Petruska is situated at the following address: 12 Ashley Rd, Southborough, MA, 17721816.
What is Kathleen A Petruska's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kathleen A Petruska's specialized field of practice is Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0800X.
When did Kathleen A Petruska receive its 1306893045 assignment?
The Kathleen A Petruska was assigned its 1306893045 on 2006-05-28, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Kathleen A Petruska most recently updated or revised?
The information pertaining to Kathleen A Petruska, including its address, specialty, and other relevant details, was last updated or revised on 2020-12-03.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY