Provider Demographics
NPI:1235761958
Name:MCFARLANE, KELLIE GEVON (PSYD)
Entity Type:Individual
Prefix:DR
First Name:KELLIE
Middle Name:GEVON
Last Name:MCFARLANE
Suffix:
Gender:F
Credentials:PSYD
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Mailing Address - Street 1:1686 PARK PL APT 1B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11233-4539
Mailing Address - Country:US
Mailing Address - Phone:917-860-8598
Mailing Address - Fax:
Practice Address - Street 1:LINCOLN HOSPITAL, CHILD ADOLESCENT PSYCHIATRIC SERVICES
Practice Address - Street 2:234 EAST 149TH STREET, FLOOR 4A, ROOM 4-83
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451
Practice Address - Country:US
Practice Address - Phone:718-579-5156
Practice Address - Fax:718-578-5556
Is Sole Proprietor?:No
Enumeration Date:2020-02-11
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP103936103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical