Mcclay, John David

Mcclay, John David is an individual health care provider with primary practice located at 1804 W 50Th St , Minneapolis MN 55419-1001. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Mcclay, John David can be contacted via phone (612) 927-7335.

Contact Information

Primary practice address
1804 W 50Th St Minneapolis MN 55419-1001
Phone: (612) 927-7335
Fax: (612) 927-4259
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP-2475 Minnesota

Profile Details

NPI number 1235138447
LBN Legal business name Mcclay, John David
Credentials ED.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Jul 8th, 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 1235138447 NPPES
Minnesota Other 11046MC BLUE CROSS BLUE SHIELD

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