Doctor Name: | DR. MARCI MCCAULAY |
NPI Number: | 1306978895 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 3459 |
Business Practice Address: | 130 N Prospect St Suite 9 Granville, OH - 430231371 |
Business Phone Number: | 7405871375 |
Business Fax Number: | |
Mailing Address: | Po Box 186, GRANVILLE |
State: | OH |
Postal Code: | 430230186 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/10/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 3459 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |