Individual
DR. KATHLEEN J MCCUNE
Active
Individual
DR. KATHLEEN J MCCUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
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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