Organization
MARIANNE L MCCAIN PH D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIANNE LISA MCCAIN PH.D. (PRESIDENT)
(850) 664-7690
Entity
Organization
Contact information
Practice address
118 TRUXTON AVE, FORT WALTON BEACH, FL 32547-2461
(850) 664-7690
(850) 664-7691
Mailing address
118 TRUXTON AVE, FORT WALTON BEACH, FL 32547-2461
(850) 664-7690
(850) 664-7691
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0004162
FL
Other
Enumeration date
04/18/2008
Last updated
04/18/2008
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