Provider Demographics
NPI:1184815474
Name:MCCABE, KALI KATE
Entity Type:Individual
Prefix:MRS
First Name:KALI
Middle Name:KATE
Last Name:MCCABE
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:KALI
Other - Middle Name:KATE
Other - Last Name:MCCABE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:804 WEST CHOCTAW
Mailing Address - Street 2:
Mailing Address - City:CHICKASHA
Mailing Address - State:OK
Mailing Address - Zip Code:73018
Mailing Address - Country:US
Mailing Address - Phone:405-222-0622
Mailing Address - Fax:405-224-9532
Practice Address - Street 1:804 WEST CHOCTAW
Practice Address - Street 2:
Practice Address - City:CHICKASHA
Practice Address - State:OK
Practice Address - Zip Code:73018
Practice Address - Country:US
Practice Address - Phone:405-222-0622
Practice Address - Fax:405-224-9532
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health