Provider Demographics
NPI:1568184620
Name:MUSSER, MCKAYLA (MSW)
Entity Type:Individual
Prefix:
First Name:MCKAYLA
Middle Name:
Last Name:MUSSER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11311 LONG DRIVE
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77302
Mailing Address - Country:US
Mailing Address - Phone:817-846-2961
Mailing Address - Fax:
Practice Address - Street 1:11311 LONG DRIVE
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77302-7730
Practice Address - Country:US
Practice Address - Phone:817-846-2961
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-15
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator