Provider Demographics
NPI:1609197946
Name:DUPREE, NANCY KATHLEEN (MA, MED)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:KATHLEEN
Last Name:DUPREE
Suffix:
Gender:F
Credentials:MA, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60-70 PICKETTS CORNER ROAD
Mailing Address - Street 2:
Mailing Address - City:SARANAC
Mailing Address - State:NY
Mailing Address - Zip Code:12981
Mailing Address - Country:US
Mailing Address - Phone:518-565-5641
Mailing Address - Fax:518-565-5701
Practice Address - Street 1:70 PICKETTS CORNERS ROAD
Practice Address - Street 2:
Practice Address - City:SARANAC
Practice Address - State:NY
Practice Address - Zip Code:12981-3264
Practice Address - Country:US
Practice Address - Phone:518-565-5641
Practice Address - Fax:518-565-5701
Is Sole Proprietor?:No
Enumeration Date:2010-06-22
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool