Doctor Name: | DR. KIM ANN MCKAY |
NPI Number: | 1184665267 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 015731-1 |
Business Practice Address: | North Court Street Wampsville, NY - 131630608 |
Business Phone Number: | 3153662327 |
Business Fax Number: | 3153662599 |
Mailing Address: | 30 Bedford Dr, WHITESBORO |
State: | NY |
Postal Code: | 134922245 |
Phone Number: | 3157686046 |
Fax Number: | |
NPI Enumeration Date: | 06/09/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 015731-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |