Michelle M. Kilcoyne, Ph.D., LLC
Psychologist, Clinical in Fairfield, OH. Organization (NPI-2).
NPI number1669900312
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1669900312
- Entity type
- Organization (NPI-2)
- Legal business name
- Michelle M. Kilcoyne, Ph.D., LLC
- Organization subpart
- No
- Enumeration date
- May 25, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 7430 | OH | Yes |
Practice location
2812 Mack RdFairfield, OH 45014-5130
Phone 513-289-1092
Mailing address
2812 Mack RdFairfield, OH 45014-5130
Phone 513-289-1092
Authorized official
Michelle M. Kilcoyne
Clinical Psychologist
5132891092
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