Individual
KENNETH MCTAGUE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2300 HIGHWAY 365, SUITE 620, NEDERLAND, TX 77627-6256
(409) 729-0400
(866) 573-8008
Mailing address
2300 HIGHWAY 365, SUITE 620, NEDERLAND, TX 77627-6256
(409) 729-0400
(866) 573-8008
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20970
TX
Other
Enumeration date
05/11/2006
Last updated
07/08/2007
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