Provider Demographics
NPI:1851079438
Name:MOLYNEAUX, KATHLEEN JOAN (PMHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:JOAN
Last Name:MOLYNEAUX
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:MISS
Other - First Name:KATHLEEN
Other - Middle Name:JOAN
Other - Last Name:YATES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:109 WESTMINSTER DRIVE
Mailing Address - Street 2:
Mailing Address - City:MARS
Mailing Address - State:PA
Mailing Address - Zip Code:16046
Mailing Address - Country:US
Mailing Address - Phone:412-605-8923
Mailing Address - Fax:
Practice Address - Street 1:109 WESTMINSTER DRIVE
Practice Address - Street 2:
Practice Address - City:MARS
Practice Address - State:PA
Practice Address - Zip Code:16046
Practice Address - Country:US
Practice Address - Phone:412-605-8923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-05
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program