Doctor Name: | DR. PHILIP S. MCRAE |
NPI Number: | 1881914901 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSYD, DCSW |
License Number: | CSW002939 |
Business Practice Address: | 1061 Harmon Ave. Suite 1d03 Ft. Stewart, GA - 313145674 |
Business Phone Number: | 9124356633 |
Business Fax Number: | |
Mailing Address: | 1061 Harmon Ave., Suite 1d03 FT. STEWART |
State: | GA |
Postal Code: | 313145674 |
Phone Number: | 9124356633 |
Fax Number: | |
NPI Enumeration Date: | 06/11/2010 |
NPI Last Update Date: | 01/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CSW002939 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |