Provider Demographics
NPI:1568675841
Name:MCKINNEY, CATHY HARBISON (MT-BC, LCAT)
Entity Type:Individual
Prefix:DR
First Name:CATHY
Middle Name:HARBISON
Last Name:MCKINNEY
Suffix:
Gender:F
Credentials:MT-BC, LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 THE MDWS
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-5617
Mailing Address - Country:US
Mailing Address - Phone:828-262-2861
Mailing Address - Fax:
Practice Address - Street 1:HAYES SCHOOL OF MUSIC
Practice Address - Street 2:APPALACHIAN STATE UNIVERSITY
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28608-0001
Practice Address - Country:US
Practice Address - Phone:828-262-6444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
01272225A00000X
NY000749-1225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist