Mccown, Judy A
Mccown, Judy A is an sole proprietor health care provider with primary practice located at 22811 Greater Mack Ave Suite L-3, Saint Clair Shores MI 48080-2021. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mccown, Judy A can be contacted via phone (586) 777-3988.Contact Information
Primary practice address
22811 Greater Mack Ave Suite L-3
Saint Clair Shores MI 48080-2021
Phone: (586) 777-3988
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301008870 | Michigan |
Profile Details
| NPI number | 1164542254 |
|---|---|
| LBN Legal business name | Mccown, Judy A |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 30th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1164542254 | NPPES |
| Michigan | Other | 6301008870 | PSYCHOLOGIST LICENSE |
| Michigan | Other | 680EO45650 | PSYCHOLOGIST LICENSE |
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