Doctor Name: | DR. LAURA MCKEE |
NPI Number: | 1124191895 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | 344 |
Business Practice Address: | 158 North First East Street Driggs, ID - 83422 |
Business Phone Number: | 2082015230 |
Business Fax Number: | 2087875230 |
Mailing Address: | Po Box 983, DRIGGS |
State: | ID |
Postal Code: | 834220983 |
Phone Number: | 2082015230 |
Fax Number: | 2087875230 |
NPI Enumeration Date: | 11/17/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 344 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |