Individual
THOMAS MATTHEW MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
3333 BURNET AVE, MLC 3015, CINCINNATI, OH 45229-3026
(513) 636-4336
(513) 636-3497
Mailing address
3333 BURNET AVE, MLC 3015, CINCINNATI, OH 45229-3026
(513) 636-4336
(513) 636-3497
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7335
OH
103T00000X
Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30607030
—
KY
01
—
611041631
TAX ID GROUP FOR COUNSELING AND DIAGNOSTIC CENTER
KY
Enumeration date
08/09/2007
Last updated
12/27/2016
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