Individual
KEVIN CHRISTOPHER EAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYCHOLOGIST
Contact information
Practice address
1010 WAYNE STREET, SUITE 100, OLEAN, NY 14760
(716) 372-3550
(716) 372-3575
Mailing address
2416 CONSTITUTION AVE, REHABILITATION TODAY SERVICES, OLEAN, NY 14760
(716) 372-3550
(716) 372-3575
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
015401
NY
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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