Provider Demographics
NPI:1699238998
Name:MCCABE, CHELSEY MAURA (PHD)
Entity type:Individual
Prefix:DR
First Name:CHELSEY
Middle Name:MAURA
Last Name:MCCABE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:CHELSEY
Other - Middle Name:MAURA
Other - Last Name:HARTLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:1028 MAIN ST FL 2
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14202-1102
Mailing Address - Country:US
Mailing Address - Phone:716-859-5470
Mailing Address - Fax:
Practice Address - Street 1:1028 MAIN ST FL 2
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14202-1102
Practice Address - Country:US
Practice Address - Phone:716-859-5470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-12
Last Update Date:2019-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023098-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist