Doctor Name: | MRS. BETTY JEAN MCKEY |
NPI Number: | 1235474784 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED. |
License Number: | 224898 |
Business Practice Address: | 1852 Ga Highway 32 E Wray, GA - 317983720 |
Business Phone Number: | 2294687309 |
Business Fax Number: | |
Mailing Address: | 1852 Ga Highway 32 E, WRAY |
State: | GA |
Postal Code: | 317983720 |
Phone Number: | 2294687309 |
Fax Number: | |
NPI Enumeration Date: | 12/10/2012 |
NPI Last Update Date: | 12/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YS0200X |
License Number: | 224898 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | School |
Taxonomy Definition: |