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General NPI Number Information
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NPI Number | 1215195573
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Entity Type | Organization
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Legal Business Name | KATHERINE MCKAY, PH.D., LLC
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Dates
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Enumeration Date | 05/22/2008
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Last Update Date | 05/22/2008
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Provider Practice Location Address
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Address Line | 840 BEACH DR NE
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City | SAINT PETERSBURG
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State | FL
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Zip | 33701-2012
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Country | US
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Telephone | 727-385-0032
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Fax |
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Provider Business Mailing Address
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Address Line | 840 BEACH DR NE
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City | SAINT PETERSBURG
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State | FL
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Zip | 33701-2012
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Country | US
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Telephone | 727-385-0032
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST, OWNER
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Name | DR. KATHERINE MARIE MCKAY
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Credential | PH.D.
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Telephone | 727-385-0032
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY6527
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License Number State | FL
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