Provider Demographics
NPI:1104328459
Name:PEDRO-MEDEIROS, KATHERINE ANN (BA,LSWA)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:ANN
Last Name:PEDRO-MEDEIROS
Suffix:
Gender:F
Credentials:BA,LSWA
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:227 CHELMSFORD ST STE C227
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-2305
Mailing Address - Country:US
Mailing Address - Phone:617-735-7723
Mailing Address - Fax:978-221-5831
Practice Address - Street 1:227 CHELMSFORD ST STE C227
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-2305
Practice Address - Country:US
Practice Address - Phone:617-735-7723
Practice Address - Fax:978-221-5831
Is Sole Proprietor?:No
Enumeration Date:2018-03-02
Last Update Date:2018-03-02
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor