Basic Information
| Provider Information | |||||||||
| NPI: | 1164650602 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MCCABE | ||||||||
| FirstName: | MEAGAN | ||||||||
| MiddleName: | CALLAHAN | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | M.S. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2936 WADE STEDMAN ROAD | ||||||||
| Address2: | |||||||||
| City: | STEDMAN | ||||||||
| State: | NC | ||||||||
| PostalCode: | 283918889 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9109875084 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5841 HWY. 421 S. | ||||||||
| Address2: | |||||||||
| City: | BUIES CREEK | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275060457 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9108935727 | ||||||||
| FaxNumber: | 9108936404 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/23/2009 | ||||||||
| LastUpdateDate: | 02/01/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | 7033A | NC | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.