Provider Demographics
NPI:1104897313
Name:MCCLUNG, JEAN FRANCES (PHD)
Entity type:Individual
Prefix:DR
First Name:JEAN
Middle Name:FRANCES
Last Name:MCCLUNG
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 MCKNIGHT RD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-3420
Mailing Address - Country:US
Mailing Address - Phone:412-367-7781
Mailing Address - Fax:412-635-3012
Practice Address - Street 1:5000 MCKNIGHT RD
Practice Address - Street 2:SUITE 207
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-3420
Practice Address - Country:US
Practice Address - Phone:412-367-7781
Practice Address - Fax:412-635-3012
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS-005538-L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA119295Medicare ID - Type Unspecified