Haddock, Mccoy Dean
Haddock, Mccoy Dean is an sole proprietor health care provider with primary practice located at 4900 California Ave Suite 330B, Bakersfield CA 93309-7024. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Haddock, Mccoy Dean can be contacted via phone (661) 326-8167.Contact Information
Primary practice address
4900 California Ave Suite 330B
Bakersfield CA 93309-7024
Phone: (661) 326-8167
Fax: (661) 326-8221
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY8536 | California |
Profile Details
NPI number | 1649495920 |
---|---|
LBN Legal business name | Haddock, Mccoy Dean |
Credentials | PSY.D |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 13th, 2007 |
Last updated | Jul 24th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1649495920 | NPPES |
California | Other | PSY8536 | CALIF LIC |
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