Doctor Name: | DR. JOHN MILTON MCCAULEY |
NPI Number: | 1013010362 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | PY5904 |
Business Practice Address: | 3700 Airport Rd Suite 205 Boca Raton, FL - 334316422 |
Business Phone Number: | 5614476626 |
Business Fax Number: | 5614476626 |
Mailing Address: | 3700 Airport Rd, Suite 205 BOCA RATON |
State: | FL |
Postal Code: | 334316422 |
Phone Number: | 5614476626 |
Fax Number: | 5614476626 |
NPI Enumeration Date: | 09/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PY5904 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |