Savanna Cloer Mccain Phd, Pa | |
4257 N Gabel Dr # 2b Fayetteville AR 72703-5004 | |
(479) 856-6688 | |
(479) 856-6696 |
Full Name | Savanna Cloer Mccain Phd, Pa |
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Speciality | Psychologist |
Location | 4257 N Gabel Dr # 2b, Fayetteville, Arkansas |
Authorized Official Name and Position | Savanna Cloer Mccain (PSYCHOLOGIST) |
Authorized Official Contact | 4798566688 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Savanna Cloer Mccain Phd, Pa 4257 N Gabel Dr # 2b Fayetteville AR 72703-5004 Ph: (479) 856-6688 | Savanna Cloer Mccain Phd, Pa 4257 N Gabel Dr # 2b Fayetteville AR 72703-5004 Ph: (479) 856-6688 |
NPI Number | 1922470020 |
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Provider Enumeration Date | 10/28/2015 |
Last Update Date | 10/28/2015 |
Medicare PECOS PAC ID | 4789983024 |
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Medicare Enrollment ID | O20160509000773 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922470020 | NPI | - | NPPES |
142830019 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 00-11P (Arkansas) | Primary |
Provider Name | Savanna C Mccain |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1386676583 PECOS PAC ID: 1456425560 Enrollment ID: I20080808000047 |
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