Individual
DR. MICHELLE M. KILCOYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2812 MACK RD, FAIRFIELD, OH 45014-5130
(513) 874-4530
(513) 346-3811
Mailing address
2812 MACK RD, FAIRFIELD, OH 45014-5130
(513) 874-4530
(513) 346-3811
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7430
OH
103TC2200X
Clinical Child & Adolescent Psychologist
7430
OH
Other
Enumeration date
02/09/2017
Last updated
12/07/2017
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