Individual
DR. LORETTA KAY MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2325 W WHITE OAKS DR, SUITE C, SPRINGFIELD, IL 62704-7419
(217) 793-3949
(217) 793-3995
Mailing address
2325 W WHITE OAKS DR, SUITE C, SPRINGFIELD, IL 62704-7419
(217) 793-3949
(217) 793-3995
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-006007
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108270
HEALTH ALLIANCE
—
01
—
722281
HEALTHLINK
—
01
—
8432104
BLUE CROSS BLUE SHIELD
IL
Enumeration date
09/22/2006
Last updated
06/09/2009
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