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Individual

DR. KATHLEEN J MCCUNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
9097 ATLEE STATION RD, SUITE 219, MECHANICSVILLE, VA 23116-2525
(804) 730-2829
Mailing address
9097 ATLEE STATION RD, SUITE 219, MECHANICSVILLE, VA 23116-2525
(804) 730-2829

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002014
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
007714785
MEDICAID PIN
05
010094488
VA
01
037046
VALUE OPTIONS
VA
01
086879M
SENTARA
VA
01
117239000
MAGELLAN
VA
01
137427
ANTHEM BCBS
VA
01
2125514
ALLIANCE PPO
VA
01
P00069232
RAILROAD MEDICARE PIN
Enumeration date
07/17/2006
Last updated
03/30/2009
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