Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 00883 | KY |
N | 103T00000X | Psychologist | 00883 | KY |
N | 102L00000X | Psychologist | 20041846A | IN |
N | 103T00000X | Psychologist | 20041846A | IN |
N | 103TC1900X | Counseling Psychologist | 00883 | KY |
N | 103TC1900X | Counseling Psychologist | 20041846A | IN |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 00883 | KY |
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 20041846A | IN |
N | 103TF0000X | Family Psychologist | 20041846A | IN |
N | 103TF0000X | Family Psychologist | 20041846A | KY |
N | 103TM1800X | Intellectual & Developmental Disabilities | 0883 | KY |
N | 103TM1800X | Intellectual & Developmental Disabilities | 20041846A | IN |
N | 103TP2701X | Group Psychotherapist | 00883 | KY |
N | 103TP2701X | Group Psychotherapist | 20041846A | IN |
NPI | 1124042940 |
---|---|
Provider Name | Dr. Kathleen Marie Kirby |
First Address | New Albany, IN 47150-2942 |
Second Address | New Albany, IN 47150-2942 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 21/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8900007900 | (05) | KY |