National Provider Identifier
Kevin Christopher Eagan, PSYCHOLOGIST
Kevin Christopher Eagan, PSYCHOLOGIST is listed in the NPPES registry with a primary specialty of Psychologist in Olean, NY and a listed phone number of (716) 372-3550.
Profile Overview
- NPI
- 1912003104
- Provider Type
- Individual
- Primary Specialty
- Psychologist
- Enumeration Date
- September 15, 2006
- Last Updated
- July 08, 2007
Practice Location
- 1010 Wayne Street
- Suite 100
- Olean, NY 14760
Phone: (716) 372-3550
Mailing Address
- 2416 Constitution Ave
- Rehabilitation Today Services
- Olean, NY 14760
Specialties
- Psychologist (103T00000X)
Full Record
- NPI
- 1912003104
- Entity Type
- Individual
- Last Name
- Eagan
- First Name
- Kevin
- Middle Name
- Christopher
- Credential
- PSYCHOLOGIST
- Mailing Street Address
- 2416 Constitution Ave
- Mailing Address Line 2
- Rehabilitation Today Services
- Mailing City
- Olean
- Mailing State
- NY
- Mailing ZIP Code
- 14760
- Mailing Country
- US
- Mailing Phone
- (716) 372-3550
- Mailing Fax
- (716) 372-3575
- Practice Street Address
- 1010 Wayne Street
- Practice Address Line 2
- Suite 100
- Practice City
- Olean
- Practice State
- NY
- Practice ZIP Code
- 14760
- Practice Country
- US
- Practice Phone
- (716) 372-3550
- Practice Fax
- (716) 372-3575
- Enumeration Date
- September 15, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychologist (103T00000X)