Basic Information
| Provider Information | |||||||||
| NPI: | 1417185026 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GASPARDI | ||||||||
| FirstName: | KATHRYN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 FENN ST | ||||||||
| Address2: | ADMINISTRATIVE OFFICES | ||||||||
| City: | PITTSFIELD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 012016278 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4136291262 | ||||||||
| FaxNumber: | 4134482198 | ||||||||
| Practice Location | |||||||||
| Address1: | 1 FENN ST | ||||||||
| Address2: | ADMINISTRATIVE OFFICES | ||||||||
| City: | PITTSFIELD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 012016278 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4136291262 | ||||||||
| FaxNumber: | 4134482198 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/23/2009 | ||||||||
| LastUpdateDate: | 06/23/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | Y | Behavioral Health & Social Service Providers | Social Worker |
No ID Information.