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General NPI Number Information
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NPI Number | 1144399353
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Entity Type | Individual
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Provider Name | KENNETH D MCCOY PHD, HSPP
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Gender | Male
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 321 S MAIN ST
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City | NEW CASTLE
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State | IN
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Zip | 47362-4218
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Country | US
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Telephone | 765-529-3370
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Fax | 765-529-7269
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Provider Business Mailing Address
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Address Line | 321 S MAIN ST
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City | NEW CASTLE
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State | IN
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Zip | 47362-4218
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Country | US
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Telephone | 765-529-3370
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Fax | 765-529-7269
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 20040951A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number | 20040951A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 20040951A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 20040951A
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | 20040951A
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License Number State | IN
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Taxonomy #6
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | 20040951A
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License Number State | IN
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Taxonomy #7
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 20040951A
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License Number State | IN
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Taxonomy #8
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | 20040951A
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License Number State | IN
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