Provider Demographics
NPI:1437442092
Name:MCKEE, LAURA GALE (PHD)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:GALE
Last Name:MCKEE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:950 MAIN ST
Mailing Address - Street 2:CLARK UNIVERSITY DEPT OF PSYCHOLOGY
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01610-1400
Mailing Address - Country:US
Mailing Address - Phone:508-793-7552
Mailing Address - Fax:508-793-7274
Practice Address - Street 1:3000 NEW BERN AVE
Practice Address - Street 2:NEONATOLOGY
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-1231
Practice Address - Country:US
Practice Address - Phone:919-350-8527
Practice Address - Fax:919-350-8146
Is Sole Proprietor?:No
Enumeration Date:2011-05-16
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC102915103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist