Doctor Name: | KAY E. HEDGE |
NPI Number: | 1386014967 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC, NCC |
License Number: | LC6047 |
Business Practice Address: | 61 Gambrills Rd Severn, MD - 211443507 |
Business Phone Number: | 4109872221 |
Business Fax Number: | 4109871667 |
Mailing Address: | 10308 Balsamwood Dr, LAUREL |
State: | MD |
Postal Code: | 207083174 |
Phone Number: | 3014900505 |
Fax Number: | |
NPI Enumeration Date: | 09/25/2015 |
NPI Last Update Date: | 09/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LC6047 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
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 |