Loretta Kay Mckenzie in Springfield - Clinical

Loretta Kay Mckenzie - NPI 1922108885

Loretta Kay Mckenzie is a Clinical in Springfield, Illinois. Loretta Kay Mckenzie practices all healthcare services and medical treatments related to Clinical. The NPI Number for Loretta Kay Mckenzie is 1922108885. The last update date is 2009-06-09.

Loretta Kay Mckenzie's current location address is 2325 W White Oaks Dr, Springfield, Illinois. You can contact this provider via phone number 2177933949 and fax number 2177933995. The mailing address for Loretta Kay Mckenzie is 2325 W White Oaks Dr, Springfield, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Loretta Kay Mckenzie
Address 2325 W White Oaks Dr, Springfield, Illinois
Phone Number 2177933949
Fax Number 2177933995
Sole Proprietor N
Credentials PSY.D.

NPI Number Detail

NPI Number 1922108885
Provider Enumeration Date 2006-09-22
Last Updated Date 2009-06-09

Provider Mailing Address Detail

Address 2325 W White Oaks Dr
City Springfield
State Illinois (IL)
Post Code 627047419
Phone Number 2177933949
Fax Number 2177933995

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 071-006007
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
108270 HEALTH ALLIANCE
722281 HEALTHLINK
8432104 IL BLUE CROSS BLUE SHIELD

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FAQs about Loretta Kay Mckenzie

What is the unique 10-digit identification code assigned to Loretta Kay Mckenzie by the Centers for Medicare & Medicaid Services?

The Loretta Kay Mckenzie has been issued the NPI (National Provider Identifier) 1922108885, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Loretta Kay Mckenzie is located?

The Loretta Kay Mckenzie is situated at the following address: 2325 W White Oaks Dr, Springfield, IL, 627047419.

What is Loretta Kay Mckenzie's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Loretta Kay Mckenzie is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1922108885 to Loretta Kay Mckenzie?

The Centers for Medicare & Medicaid Services originally issued the 1922108885 to Loretta Kay Mckenzie on 2006-09-22.

When was the information pertaining to Loretta Kay Mckenzie most recently updated or revised?

The details related to Loretta Kay Mckenzie, including its address, specialty, and other relevant information, were last updated or revised on 2009-06-09.

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