Individual
DR. MARCIA LYNN MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
100 S. MAIN STREET, SUITE 205, EL DORADO, KS 67042-0606
(316) 322-9500
(316) 322-9500
Mailing address
PO BOX 606, EL DORADO, KS 67042-0606
(316) 322-9500
(316) 322-9500
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
957
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118202
BCBS GROUP NUMBER
KS
01
—
119741
BCBS INDIVIDUAL PROVIDER
KS
01
—
4716
PREFERRED HEALTH SYSTEMS
KS
01
—
481246499 66502 A001
TRIWEST PROVIDER NUMBER
KS
Enumeration date
10/10/2006
Last updated
07/09/2007
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