Doctor Name: | DR. KATHY A MCMAHON |
NPI Number: | 1376987487 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | 5036 |
Business Practice Address: | 233 Powell Rd Apt/suite Cummington, MA - 010269609 |
Business Phone Number: | 4136340002 |
Business Fax Number: | |
Mailing Address: | 351 Pleasant St, #225 NORTHAMPTON |
State: | MA |
Postal Code: | 010603900 |
Phone Number: | 4136340002 |
Fax Number: | |
NPI Enumeration Date: | 04/18/2013 |
NPI Last Update Date: | 04/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 5036 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |