Organization Name: | MARGARET A. MACDEVITT PH.D, PC |
NPI Number: | 1013276013 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARGARET A MACDEVITT (OWNER/ DOLEPROPRIETOR) |
Mailing Address: | 123 E Arch St Marquette |
State: | MI US |
Postal Code: | 498553801 |
Phone Number: | 9062269584 |
Fax Number: | 9062288057 |
NPI Enumeration Date: | 05/10/2012 |
NPI Last Update Date: | 05/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 6301005893 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |