Dr. Kevin C. Clancy, Ph.D.
Psychologist, Counseling in Brockton, MA. Individual provider (NPI-1).
NPI number1295823441
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1295823441
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kevin C. Clancy
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 11, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC1900X | Psychologist, Counseling | 6727 | MA | Yes |
Practice location
940 Belmont St Rm C134Brockton, MA 02301-5596
Phone 508-583-4500
Mailing address
940 Belmont St Rm C134Brockton, MA 02301-5596
Phone 508-583-4500
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Counseling Psychologist providers in Brockton, MA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.