NPI | 1306168216 |
---|---|
Professional Name | E. MAC MCSHANE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 793) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CO 793) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO 793) | |
Enumeration Date | 2010-02-18 |
Last Update Date | 2010-02-18 |