Doctor Name: | DR. DAVID WILLIAM MACVICAR |
NPI Number: | 1003885252 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 2902 |
Business Practice Address: | 3701 Loop Rd Tuscaloosa, AL - 354045015 |
Business Phone Number: | 2055542822 |
Business Fax Number: | |
Mailing Address: | 3701 Loop Rd, TUSCALOOSA |
State: | AL |
Postal Code: | 354045015 |
Phone Number: | 2055542822 |
Fax Number: | |
NPI Enumeration Date: | 03/17/2006 |
NPI Last Update Date: | 12/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 2902 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |