Doctor Name: | ANTHNOY MCCABE |
NPI Number: | 1023487782 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMSW |
License Number: | 72-095666 |
Business Practice Address: | 6678 County Road 32 Norwich, NY - 138153554 |
Business Phone Number: | 6073351200 |
Business Fax Number: | |
Mailing Address: | 6678 County Road 32, NORWICH |
State: | NY |
Postal Code: | 138153554 |
Phone Number: | 6073351200 |
Fax Number: | |
NPI Enumeration Date: | 09/23/2015 |
NPI Last Update Date: | 09/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | 72-095666 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |