Doctor Name: | DAWN LOUISE MCCOY |
NPI Number: | 1003947094 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.I.S.W. |
License Number: | I. 0008271 |
Business Practice Address: | 123 S Broad St Lancaster, OH - 431304304 |
Business Phone Number: | 7404382946 |
Business Fax Number: | |
Mailing Address: | 38 Blue Valley Rd Se, LANCASTER |
State: | OH |
Postal Code: | 431308367 |
Phone Number: | 7404382946 |
Fax Number: | |
NPI Enumeration Date: | 03/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | I. 0008271 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |