Individual
DR. MARY LOUISA MCCUBBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
900 BRYAN ST, SUITE 5, HUNTINGDON, PA 16652-2413
(814) 643-6300
(814) 643-8776
Mailing address
900 BRYAN ST, SUITE 5, HUNTINGDON, PA 16652-2413
(814) 643-6300
(814) 643-8776
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD071084L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01816546
—
PA
Enumeration date
02/05/2007
Last updated
07/19/2016
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