Individual
MACY MAE KINZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3434 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1720
(361) 855-2710
(361) 855-4204
Mailing address
3434 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1720
(361) 855-2710
(361) 855-4204
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
23357
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032744701
—
TX
Enumeration date
06/01/2006
Last updated
09/17/2008
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