Doctor Name: | DR. KATHLEEN MCGUNNIGLE PAYNE |
NPI Number: | 1023141009 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 015165 |
Business Practice Address: | 8040 Corporate Cir Suite #4 North Royalton, OH - 441331282 |
Business Phone Number: | 4404768027 |
Business Fax Number: | 4403453456 |
Mailing Address: | 8040 Corporate Cir, Suite #4 NORTH ROYALTON |
State: | OH |
Postal Code: | 441331282 |
Phone Number: | 4404768027 |
Fax Number: | 4403453456 |
NPI Enumeration Date: | 03/13/2007 |
NPI Last Update Date: | 01/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 015165 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |