Provider Demographics
NPI:1588991848
Name:MCFARLAND, DAWN MARIE (PSYD)
Entity type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:MARIE
Last Name:MCFARLAND
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 ARLINGTON GLEN DR
Mailing Address - Street 2:
Mailing Address - City:FENTON
Mailing Address - State:MO
Mailing Address - Zip Code:63026-3971
Mailing Address - Country:US
Mailing Address - Phone:314-368-9646
Mailing Address - Fax:636-343-8536
Practice Address - Street 1:1101 GRAVOIS RD
Practice Address - Street 2:STE B
Practice Address - City:FENTON
Practice Address - State:MO
Practice Address - Zip Code:63026-4580
Practice Address - Country:US
Practice Address - Phone:314-368-9646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-06
Last Update Date:2017-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001014362103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical