Doctor Name: | MRS. BRENDA LEE MCKINNEY |
NPI Number: | 1154423531 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS PCC |
License Number: | E4190 |
Business Practice Address: | 87 Stambaugh Avenue Suite 5 Sharon, PA - 16146 |
Business Phone Number: | 7249820414 |
Business Fax Number: | 7249824407 |
Mailing Address: | Po Box 840, 87 Stambaugh Avenue Suite 5 SHARON |
State: | PA |
Postal Code: | 16146 |
Phone Number: | 7249820414 |
Fax Number: | 7249824407 |
NPI Enumeration Date: | 09/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | E4190 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |