| Jody Mccain, Psyd Pllc | |
|
116 Brandt Ln Southern Pines NC 28387-4200 | |
| (910) 639-5848 | |
| (910) 692-1010 |
| Full Name | Jody Mccain, Psyd Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 116 Brandt Ln, Southern Pines, North Carolina |
| Authorized Official Name and Position | Joann E Mccain (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 9106395848 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jody Mccain, Psyd Pllc 116 Brandt Ln Southern Pines NC 28387-4200 Ph: (910) 639-5848 | Jody Mccain, Psyd Pllc 116 Brandt Ln Southern Pines NC 28387-4200 Ph: (910) 639-5848 |
| NPI Number | 1144777236 |
|---|---|
| Provider Enumeration Date | 09/06/2016 |
| Last Update Date | 01/12/2024 |
| Certification Date | 01/12/2024 |
| Medicare PECOS PAC ID | 4880978931 |
|---|---|
| Medicare Enrollment ID | O20170309000365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144777236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 4994 (North Carolina) | Primary |
| Provider Name | Joann Elizabeth Mccain |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861534430 PECOS PAC ID: 5799069845 Enrollment ID: I20170309000435 |
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