Individual
DR. KURT STEPHEN HALLIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5862 US HIGHWAY 11 THE TALLMAN HOUSE, PSYCHOLOGICAL ASSOCIATES, CANTON, NY 13617
(315) 262-5355
Mailing address
58 MAY ROAD, POTSDAM, NY 13676
(315) 262-5355
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
017077
NY
103TB0200X
Cognitive & Behavioral Psychologist
1788
CO
103TC0700X
Clinical Psychologist
017077
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95926534
—
CO
Enumeration date
04/26/2006
Last updated
04/03/2013
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