Doctor Name: | MRS. DORIS A. KYLE |
NPI Number: | 1104913128 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.W. |
License Number: | 1727 |
Business Practice Address: | 107 Main St Unit 3 Wellsboro, PA - 169011518 |
Business Phone Number: | 5707231005 |
Business Fax Number: | 5707231006 |
Mailing Address: | 107 Main St Unit 3, WELLSBORO |
State: | PA |
Postal Code: | 169011518 |
Phone Number: | 5707231005 |
Fax Number: | 5707231006 |
NPI Enumeration Date: | 10/10/2006 |
NPI Last Update Date: | 03/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 1727 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |