Provider Demographics
NPI:1427458595
Name:MCCABE, MARY ANN (PHD)
Entity type:Individual
Prefix:
First Name:MARY ANN
Middle Name:
Last Name:MCCABE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:131 E BROAD ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-4520
Mailing Address - Country:US
Mailing Address - Phone:703-237-3249
Mailing Address - Fax:703-237-3249
Practice Address - Street 1:131 E BROAD ST
Practice Address - Street 2:SUITE 201
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-4520
Practice Address - Country:US
Practice Address - Phone:703-237-3249
Practice Address - Fax:703-237-3249
Is Sole Proprietor?:No
Enumeration Date:2014-08-26
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0810002106103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical