Organization
JO LYNN MCCLAIN, PSY.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JO LYNN MCCLAIN PSY.D. (PSYCHOLOGIST)
(276) 632-3572
Entity
Organization
Contact information
Practice address
1079 SPRUCE ST, STE A, MARTINSVILLE, VA 24112-4527
(276) 632-3572
(276) 638-5287
Mailing address
1079 SPRUCE ST, STE A, MARTINSVILLE, VA 24112-4527
(276) 632-3572
(276) 638-5287
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810000335
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190002166
MEDICARE PTAN
VA
Enumeration date
07/01/2015
Last updated
07/01/2015
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