Provider Demographics
NPI:1346405073
Name:WEBB, KIRK (PHD)
Entity Type:Individual
Prefix:DR
First Name:KIRK
Middle Name:
Last Name:WEBB
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:932 HENDERSONVILLE RD STE 101
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-1761
Mailing Address - Country:US
Mailing Address - Phone:828-274-1415
Mailing Address - Fax:828-274-9943
Practice Address - Street 1:932 HENDERSONVILLE RD STE 101
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1761
Practice Address - Country:US
Practice Address - Phone:828-274-1415
Practice Address - Fax:828-274-9943
Is Sole Proprietor?:No
Enumeration Date:2008-07-22
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6770101YP2500X
103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional