Individual
DR. DAVID RUSSELL MCCANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.; R.P.
Contact information
Practice address
323 E. MATILIJA ST. # 110-158, 2125 MCNELL ROAD, OJAI, CA 93023
(805) 646-4455
(805) 646-4455
Mailing address
323 E. MATILIJA ST. # 110-158, 2125 MCNELL ROAD, OJAI, CA 93023
(805) 646-4455
(805) 646-4455
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
RP018
CA
106H00000X
Marriage & Family Therapist
RP018
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZ11442Z
BLUE SHIELD, CALIF
CA
Enumeration date
04/05/2011
Last updated
04/12/2011
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