Doctor Name: | KIM MARIE MCNEIL-CAPERS |
NPI Number: | 1104045962 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 003071-1 |
Business Practice Address: | 7559 263rd St Psychiatric Rehabilitation Glen Oaks, NY - 110041150 |
Business Phone Number: | 7184708324 |
Business Fax Number: | 7189622742 |
Mailing Address: | 13922 232nd St, LAURELTON |
State: | NY |
Postal Code: | 114132927 |
Phone Number: | 7183418862 |
Fax Number: | 7185047774 |
NPI Enumeration Date: | 04/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 003071-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |