| Doctor Name: | DR. KENNETH GRANT MCCURDY |
| NPI Number: | 1013102474 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | E2829 |
| Business Practice Address: | 109 University Square Psychology Dept., Gannon University Erie, PA - 165410001 |
| Business Phone Number: | 8148717791 |
| Business Fax Number: | 8148715511 |
| Mailing Address: | 109 University Square, Gannon University Psychology Dept. ERIE |
| State: | PA |
| Postal Code: | 165410001 |
| Phone Number: | 8148717791 |
| Fax Number: | 8148715511 |
| NPI Enumeration Date: | 09/10/2007 |
| NPI Last Update Date: | 09/10/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | E2829 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |