Individual
MS. KATHLEEN THERESA MCGONAGLE
Active
Individual
MS. KATHLEEN THERESA MCGONAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D, RNCS PC
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9039
MA
163WP0808X
Psychiatric/Mental Health Registered Nurse
181899
MA
Other
Enumeration date
04/27/2006
Last updated
04/27/2011
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