Individual
DWIGHT OWEN MCCAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3424 VICTOR AVE, OAKLAND, CA 94602-4028
(510) 530-8700
Mailing address
3424 VICTOR AVE, OAKLAND, CA 94602-4028
(510) 378-8700
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
273
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1170154882
UNITED STATES UNIFORMED SERVICES
CA
Enumeration date
04/15/2020
Last updated
04/15/2020
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