Provider Demographics
NPI:1922314848
Name:MCCUE, KIMBERLY ANN (PHD, PMH-C)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:ANN
Last Name:MCCUE
Suffix:
Gender:F
Credentials:PHD, PMH-C
Other - Prefix:MS
Other - First Name:KIMBERLY
Other - Middle Name:ANN
Other - Last Name:LANHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2815 FORBS AVE STE 107
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60192-3731
Mailing Address - Country:US
Mailing Address - Phone:847-986-8010
Mailing Address - Fax:847-986-8106
Practice Address - Street 1:2815 FORBS AVE STE 107
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60192-3731
Practice Address - Country:US
Practice Address - Phone:847-986-8010
Practice Address - Fax:847-986-8106
Is Sole Proprietor?:No
Enumeration Date:2010-08-30
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program