Provider Demographics
NPI:1467002915
Name:KEMP, MICHELYN CYNTHIA (PHD)
Entity Type:Individual
Prefix:DR
First Name:MICHELYN
Middle Name:CYNTHIA
Last Name:KEMP
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4656 NOLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188-7587
Mailing Address - Country:US
Mailing Address - Phone:813-892-6505
Mailing Address - Fax:
Practice Address - Street 1:4656 NOLAND BLVD
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188-7587
Practice Address - Country:US
Practice Address - Phone:813-892-6505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-17
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool