Basic Information
Provider Information
NPI: 1386730638
EntityType: 2
ReplacementNPI:  
OrganizationName: DR JAMES MCKEE P.H.D.
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
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Mailing Information
Address1: PO BOX 1144
Address2:  
City: MONTROSE
State: CO
PostalCode: 814021144
CountryCode: US
TelephoneNumber: 9702408822
FaxNumber: 9702408823
Practice Location
Address1: 4470 COUNTY ROAD 22
Address2:  
City: MONTROSE
State: CO
PostalCode: 814019479
CountryCode: US
TelephoneNumber: 9702408822
FaxNumber: 9702408823
Other Information
ProviderEnumerationDate: 10/05/2006
LastUpdateDate: 08/22/2020
NPIDeactivationReasonCode:  
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NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: MCKEE
AuthorizedOfficialFirstName: JAMES
AuthorizedOfficialMiddleName: L
AuthorizedOfficialTitleorPosition: P.H.D.
AuthorizedOfficialTelephone: 9702408822
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103TC0700X86276COY193400000X SINGLE SPECIALTY GROUPBehavioral Health & Social Service ProvidersPsychologistClinical

No ID Information.


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