Provider Demographics
NPI:1154322832
Name:MCFARLANE, MARY ELAINE (PSYD)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:ELAINE
Last Name:MCFARLANE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:ELAINE
Other - Middle Name:
Other - Last Name:MCFARLANE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:515 N PENELOPE ST
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:TX
Mailing Address - Zip Code:76513-2675
Mailing Address - Country:US
Mailing Address - Phone:254-933-3306
Mailing Address - Fax:254-933-3524
Practice Address - Street 1:515 N PENELOPE ST
Practice Address - Street 2:
Practice Address - City:BELTON
Practice Address - State:TX
Practice Address - Zip Code:76513-2675
Practice Address - Country:US
Practice Address - Phone:254-933-3306
Practice Address - Fax:254-933-3524
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-03
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24713103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX81688POtherBCBS OF TEXAS
TXR96946Medicare UPIN
TXR96946Medicare UPIN