Individual
KIRKE H MCVAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
655 MAIN ST, BENNINGTON, VT 05201-2870
(802) 447-2129
Mailing address
655 MAIN ST, BENNINGTON, VT 05201-2870
(802) 447-2129
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
047-0000658
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006043
—
VT
01
—
41543
MVP
VT
Enumeration date
01/15/2007
Last updated
07/08/2007
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