MEDICARE: DR. ROBYN MCKAY PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC1900X	Counseling Psychologist	4137	AZ

General Provider Information

NPI Number	:	1548568462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBYN MCKAY PHD

Provider Business Mailing Address
First Line	:	6049 S BACKUS MALL SUTTON HALL-SUITE 240
Second Line	:	ARIZONA STATE UNIVERSITY POLYTECHNIC CAMPUS
City	:	MESA
State	:	AZ
Zip	:	85212
Country	:	US
Telephone Number	:	480-727-1527
Fax Number	:

Provider Business Practice Location Address
First Line	:	6049 SOUTH BACKUS MALL, SUTTON HALL SUITE 240
Second Line	:	ARIZONA STATE UNIVERSITY POLYTECHNIC CAMPUS
City	:	MESA
State	:	AZ
Zip	:	85212-0000
Country	:	US
Telephone Number	:	480-727-1527
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2011
Last Update Date	:	03/01/2011

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