Individual
DR. KATHRYN MCTAGUE DANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
20 GRANDVIEW DR, LATHAM, NY 12110-3809
(518) 323-7313
Mailing address
20 GRANDVIEW DR, LATHAM, NY 12110-3809
(518) 323-7313
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
025434-01
NY
103TC0700X
Clinical Psychologist
Primary
025434-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/15/2021
Last updated
11/22/2024
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