Provider Demographics
NPI:1174257000
Name:BROWN-MCGEE, KATELYN MICHELE
Entity Type:Individual
Prefix:
First Name:KATELYN
Middle Name:MICHELE
Last Name:BROWN-MCGEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 FAIRVIEW AVE APT B18
Mailing Address - Street 2:
Mailing Address - City:PHILLIPSBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08865-1270
Mailing Address - Country:US
Mailing Address - Phone:856-818-2375
Mailing Address - Fax:
Practice Address - Street 1:25 FAIRVIEW AVE APT B18
Practice Address - Street 2:
Practice Address - City:PHILLIPSBURG
Practice Address - State:NJ
Practice Address - Zip Code:08865-1270
Practice Address - Country:US
Practice Address - Phone:856-818-2375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-15
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician