| Kathy J Macleay Psychologist, Apc | |
|
13210 Harding St Sylmar CA 91342-4844 | |
| (818) 825-3908 | |
| Not Available |
| Full Name | Kathy J Macleay Psychologist, Apc |
|---|---|
| Speciality | Psychologist |
| Location | 13210 Harding St, Sylmar, California |
| Authorized Official Name and Position | Dan Healy (BILLER) |
| Authorized Official Contact | 9098672016 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathy J Macleay Psychologist, Apc 13210 Harding St Sylmar CA 91342-4844 Ph: () - | Kathy J Macleay Psychologist, Apc 13210 Harding St Sylmar CA 91342-4844 Ph: (818) 825-3908 |
| NPI Number | 1073152724 |
|---|---|
| Provider Enumeration Date | 12/29/2019 |
| Last Update Date | 12/29/2019 |
| Certification Date | 12/29/2019 |
| Medicare PECOS PAC ID | 4688003684 |
|---|---|
| Medicare Enrollment ID | O20200326000661 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073152724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kathy J. Macleay |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376641597 PECOS PAC ID: 7810168663 Enrollment ID: I20110927000658 |
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