Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 01554 | MO |
Y | 103T00000X | Psychologist | 01554 | MO |
NPI | 1013944784 |
---|---|
Provider Name | Dr. Marcia J Mccabe |
First Address | Saint Louis, MO 63108-2138 |
Second Address | Saint Louis, MO 63108-1495 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 15/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
497866400 | (05) | MO |