Individual
DR. MARIE ANNETTE MCKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1362 BALDWIN ST, JENISON, MI 49428-8937
(616) 901-3635
Mailing address
1362 BALDWIN ST, JENISON, MI 49428-8937
(616) 901-3635
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301006599
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0G04523
BLUE CROSS/BLUE SHIELD MI
MI
Enumeration date
05/12/2006
Last updated
05/21/2024
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