Doctor Name: | MRS. KAYE EILEEN ROSS MCCARTY |
NPI Number: | 1124138086 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MED LPC NCC |
License Number: | |
Business Practice Address: | 419 Fairview Ave Ste 2 Ponca City, OK - 746011923 |
Business Phone Number: | 5807628367 |
Business Fax Number: | 5807623088 |
Mailing Address: | 701 W 8th, NEWKIRK |
State: | OK |
Postal Code: | 74647 |
Phone Number: | 5803623913 |
Fax Number: | 5807623088 |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |