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Contact Information

KEVIN C EAGAN, PSYCHOLOGIST
1010 WAYNE STREET
SUITE 100
OLEAN, NY14760
 Phone: 716-372-3550
 Fax: 716-372-3575
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KEVIN C EAGAN · (Male)

NPI Number 1912003104
Status Active
Credentials PSYCHOLOGIST
Entity Individual
Enumeration date 09/15/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 015401
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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