Doctor Name: | REBECCA LEIGH KINNIN |
NPI Number: | 1154791440 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MHCP |
License Number: | |
Business Practice Address: | 3176 Abbott Rd Ste 500 Orchard Park, NY - 141271069 |
Business Phone Number: | 7168222117 |
Business Fax Number: | 7168228165 |
Mailing Address: | 66 Alys Dr E, DEPEW |
State: | NY |
Postal Code: | 140431403 |
Phone Number: | 7167152643 |
Fax Number: | |
NPI Enumeration Date: | 09/30/2015 |
NPI Last Update Date: | 09/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |