Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 21385 | TX |
N | 103T00000X | Psychologist | 21385 | TX |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 21385 | TX |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 21385 | TX |
N | 103G00000X | Clinical Psychologist | 21385 | TX |
N | 103TC0700X | Clinical Psychologist | 21385 | TX |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 21385 | TX |
NPI | 1225257165 |
---|---|
Provider Name | Dr. Roy Earl Cain |
First Address | Mcallen, TX 78501-2457 |
Second Address | Mcallen, TX 78501-2457 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2007 |
Last Update Date | 08/07/2007 |