NPI 1295131217

Kathleen Fader, LICSW

Practitioner Peer Specialist Peabody, MA

Practice location

Address: 13 Meade St, Peabody, MA 01960-4627
Phone: (978) 979-7391
Mailing address: 295 Harvard St APT 404, Cambridge, MA 02139-2326

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1295131217
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Nov 2014
Record last updated: 12 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.