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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATHLEEN FAHERTY

Active Sole Proprietor

KATHLEEN FAHERTY is a Developmental Therapist healthcare provider located in SOUTHBRIDGE, Massachusetts. NPI 1710396353 is currently active in the NPPES registry. Verify at CMS.

Developmental Therapist · SOUTHBRIDGE, MA

Registration Details

NPI Number
1710396353
Provider Type
Individual
Gender
Female
NPI Issued
Aug 7, 2014 (11.835874581837 yrs)
Last Updated
Aug 7, 2014
Sole Proprietor
Yes

Practice Information

Address
486 WORCESTER ST
KENNEDY DONOVAN CENTER
SOUTHBRIDGE, MA, 015501386
Browse MA providers · Browse ZIP 01550
Phone
5087650292
Primary Specialty
Developmental Therapist
222Q00000X

Other Developmental Therapist Providers in SOUTHBRIDGE, MA

Name Credential NPI
KATHY T. RUTKIN 1003258088
MANDY LYNN JARVIS 1609209667
NADINE GILLIS 1184054496
LEAH PIXLEY 1629494257
ERIN RHAULT 1609276294
CHELSEY GILBERT 1396146890
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.