Doctor Name: | MRS. KELLY J MCGARRY-CORL |
NPI Number: | 1265450548 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, DAPA, NCC, LPC |
License Number: | PC003648 |
Business Practice Address: | 1404 Spruce St Hollidaysburg, PA - 166482340 |
Business Phone Number: | 8146953412 |
Business Fax Number: | 8146953412 |
Mailing Address: | 1404 Spruce St, HOLLIDAYSBURG |
State: | PA |
Postal Code: | 166482340 |
Phone Number: | 8146953412 |
Fax Number: | 8146953412 |
NPI Enumeration Date: | 07/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | PC003648 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |