Provider Demographics
NPI:1275964363
Name:KEMP, MAUREEN (MS SPEC EDUC)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:
Last Name:KEMP
Suffix:
Gender:F
Credentials:MS SPEC EDUC
Other - Prefix:MS
Other - First Name:MAUREEN
Other - Middle Name:N
Other - Last Name:KEMP
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS SPEC EDUC
Mailing Address - Street 1:PO BOX 1856
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-1558
Mailing Address - Country:US
Mailing Address - Phone:646-418-8467
Mailing Address - Fax:
Practice Address - Street 1:23 W 131ST ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-3578
Practice Address - Country:US
Practice Address - Phone:646-418-8467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-28
Last Update Date:2013-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY671261174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist