Kinzel, Macy Mae

Kinzel, Macy Mae is an sole proprietor health care provider with primary practice located at 3434 S Alameda St , Corpus Christi TX 78411-1720. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kinzel, Macy Mae can be contacted via phone (361) 855-2710.

Contact Information

Primary practice address
3434 S Alameda St Corpus Christi TX 78411-1720
Fax: (361) 855-4204
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 23357 Texas

Profile Details

NPI number 1922045715
LBN Legal business name Kinzel, Macy Mae
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2006
Last updated Sep 17th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922045715 NPPES
Texas MEDICAID 032744701

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