Doctor Name: | DR. SHAYNE MCKINSEY |
NPI Number: | 1497039333 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D., LPC |
License Number: | 37PC00311200 |
Business Practice Address: | 5 Withers Ln Atlantic Highlands, NJ - 077162248 |
Business Phone Number: | 7327680612 |
Business Fax Number: | |
Mailing Address: | 5 Withers Ln, ATLANTIC HIGHLANDS |
State: | NJ |
Postal Code: | 077162248 |
Phone Number: | 7327680612 |
Fax Number: | |
NPI Enumeration Date: | 10/10/2011 |
NPI Last Update Date: | 10/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 37PC00311200 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |