Doctor Name: | JON HOWARD MCCAINE |
NPI Number: | 1003064908 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | |
Business Practice Address: | 37 E Speedway Blvd Tucson, AZ - 857057714 |
Business Phone Number: | 6025023629 |
Business Fax Number: | |
Mailing Address: | 37 East Speedway Blvd, TUCSON |
State: | AZ |
Postal Code: | 85713 |
Phone Number: | 6025023629 |
Fax Number: | |
NPI Enumeration Date: | 09/04/2008 |
NPI Last Update Date: | 09/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |