Mccain, Victoria M

Mccain, Victoria M is an individual health care provider with primary practice located at 1516 Cooper St , Fort Worth TX 76104-2710. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Mccain, Victoria M can be contacted via phone (682) 885-1480.

Contact Information

Primary practice address
1516 Cooper St Fort Worth TX 76104-2710
Phone: (682) 885-1480
Fax: (682) 885-3600
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 30569 Texas
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 30569 Texas

Profile Details

NPI number 1073690608
LBN Legal business name Mccain, Victoria M
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 9th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073690608 NPPES
Texas Other 124163 SUPERIOR PIN
Texas Other 75205164617 SUPERIOR PIN
Texas Other 10013975 SUPERIOR PIN
Texas Other 2241238 SUPERIOR PIN
Texas MEDICAID 165067301 SUPERIOR PIN
Texas Other 00G981 SUPERIOR PIN
Texas Other 1336198894 SUPERIOR PIN
Texas Other 86922A SUPERIOR PIN

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