Individual
DR. MARY MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1506 E FRANKLIN ST, SUITE 202, CHAPEL HILL, NC 27514-2825
(919) 969-2616
Mailing address
108 LINNAEUS PL, CHAPEL HILL, NC 27514-5416
(919) 969-2616
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2752
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045TE
BLUE CROSS/BLUE SHIELD
NC
Enumeration date
03/01/2011
Last updated
03/01/2011
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