Katelyn Henault, | |
222 Jefferson Blvd, Warwick, RI 02888-3847 | |
(860) 788-6404 | |
Not Available |
Full Name | Katelyn Henault |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 222 Jefferson Blvd, Warwick, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669960084 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PS02306 (Rhode Island) | Secondary |
103TC0700X | Psychologist - Clinical | PSY5000479 (Massachusetts) | Primary |
Entity Name | Meditelecare Of Massachusetts, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003496506 PECOS PAC ID: 8921417064 Enrollment ID: O20210503000425 |
Mailing Address | Practice Location Address |
---|---|
Katelyn Henault, Po Box 1595, Middletown, CT 06457-8095 Ph: (860) 788-6404 | Katelyn Henault, 222 Jefferson Blvd, Warwick, RI 02888-3847 Ph: (860) 788-6404 |
Dr. Norman Charles Dupont, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 26 Janet Drive, Warwick, RI 02886 Phone: 401-738-1945 | |
Dr. Rosanne M Lowe, PH. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 615 Jefferson Blvd, Suite B 105, Warwick, RI 02886 Phone: 401-738-6865 Fax: 401-738-1621 | |
Dr. Tonya Lynn Latzman, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 400 Bald Hill Rd Ste 530, Warwick, RI 02886 Phone: 401-349-3131 | |
Mrs. Tara Mabel Brannon Bogs, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 400 Bald Hill Rd, Suite 517, Warwick, RI 02886 Phone: 401-732-1500 | |
Dr. Elena Monarch, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 889 Centerville Rd, Warwick, RI 02886 Phone: 401-821-4100 Fax: 401-823-9180 | |
Amber Champagne, Psychologist Medicare: Medicare Enrolled Practice Location: 400 Bald Hill Rd, Warwick, RI 02886 Phone: 401-349-3131 | |
Mr. Sean David Carmichael, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1035 Post Rd, Warwick, RI 02888 Phone: 401-785-0040 Fax: 401-941-7847 |