Healthcare Provider Details

I. General information

NPI: 1710843487
Provider Name (Legal Business Name): DEXTINY MCCAIN LPA, HSP-PA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/26/2025
Last Update Date: 12/26/2025
Certification Date: 12/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2310 S MIAMI BLVD STE 142
DURHAM NC
27703-4900
US

IV. Provider business mailing address

7710 FERRY LAUNCH WAY APT 5207
RALEIGH NC
27617-8685
US

V. Phone/Fax

Practice location:
  • Phone: 984-212-3008
  • Fax:
Mailing address:
  • Phone: 984-259-6200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number6973
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: