| Doctor Name: | DR. GENEVA SUE MCCANN |
| NPI Number: | 1023140522 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD |
| License Number: | PSY652 |
| Business Practice Address: | 102 W Morrow St Suite 202 Georgetown, TX - 786264307 |
| Business Phone Number: | 8089378783 |
| Business Fax Number: | 8084430185 |
| Mailing Address: | 4500 Williams Dr, Ste 212182 GEORGETOWN |
| State: | TX |
| Postal Code: | 786331332 |
| Phone Number: | 8089378783 |
| Fax Number: | 8084430185 |
| NPI Enumeration Date: | 03/10/2007 |
| NPI Last Update Date: | 08/31/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY652 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | HI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |