Provider Demographics
NPI:1467430637
Name:CONROY, KATHLEEN (LMHC)
Entity Type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:
Last Name:CONROY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:DR
Other - First Name:KAYTE
Other - Middle Name:
Other - Last Name:CONROY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC
Mailing Address - Street 1:100 CORPORATE PKWY
Mailing Address - Street 2:SUITE 318
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-1200
Mailing Address - Country:US
Mailing Address - Phone:716-783-8292
Mailing Address - Fax:716-783-8299
Practice Address - Street 1:100 CORPORATE PKWY
Practice Address - Street 2:SUITE 318
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-1200
Practice Address - Country:US
Practice Address - Phone:716-783-8292
Practice Address - Fax:716-783-8299
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-06
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000053101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health