Theresa Ann Mckenna in Port Jefferson - Psychologist
Theresa Ann Mckenna - NPI 1568463560
Theresa Ann Mckenna is a Psychologist in Port Jefferson, New York. Theresa Ann Mckenna practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Theresa Ann Mckenna is 1568463560. The last update date is 2007-07-08.
Theresa Ann Mckenna's current location address is 200 Belle Terre Rd, Port Jefferson, New York. You can contact this provider via phone number 6314746000. The mailing address for Theresa Ann Mckenna is 200 Belle Terre Rd, Port Jefferson, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa Ann Mckenna |
|---|---|
| Address | 200 Belle Terre Rd, Port Jefferson, New York |
| Phone Number | 6314746000 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1568463560 |
|---|---|
| Provider Enumeration Date | 2005-08-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 200 Belle Terre Rd |
|---|---|
| City | Port Jefferson |
| State | New York (NY) |
| Post Code | 117771928 |
| Phone Number | 6314746000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 13779 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 13779 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Theresa Ann Mckenna by the Centers for Medicare & Medicaid Services?
The Theresa Ann Mckenna has been issued the NPI (National Provider Identifier) 1568463560, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Theresa Ann Mckenna's physical address?
The Theresa Ann Mckenna is physically located at 200 Belle Terre Rd, in the city of Port Jefferson, NY, with the postal code 117771928.
What is Theresa Ann Mckenna's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Theresa Ann Mckenna's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1568463560 to Theresa Ann Mckenna?
The Centers for Medicare & Medicaid Services assigned the 1568463560 to Theresa Ann Mckenna on 2005-08-02.
As of what date were the Theresa Ann Mckenna's details last updated?
The information pertaining to the Theresa Ann Mckenna, including its address, specialty, and other details, was most recently updated on 2007-07-08.