Provider Demographics
NPI:1104164557
Name:ROSSOLIMOS-KALOGEROPOULOS, KATYA ASPASIE (MED, LMHC)
Entity type:Individual
Prefix:
First Name:KATYA
Middle Name:ASPASIE
Last Name:ROSSOLIMOS-KALOGEROPOULOS
Suffix:
Gender:F
Credentials:MED, LMHC
Other - Prefix:
Other - First Name:KATYA
Other - Middle Name:ROSSOLIMOS A
Other - Last Name:KALOGEROPOULOS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:109 PONEMAH RD
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NH
Mailing Address - Zip Code:03031-2834
Mailing Address - Country:US
Mailing Address - Phone:617-285-5810
Mailing Address - Fax:
Practice Address - Street 1:109 PONEMAH RD
Practice Address - Street 2:SUITE 8
Practice Address - City:AMHERST
Practice Address - State:NH
Practice Address - Zip Code:03031-2834
Practice Address - Country:US
Practice Address - Phone:617-285-5810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-18
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH987101YM0800X
MA8233101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health