Healthcare Provider Details

I. General information

NPI: 1013743020
Provider Name (Legal Business Name): DEVON MCCLAIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2024
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 SUMMERFIELD DR
MUNHALL PA
15120-3347
US

IV. Provider business mailing address

142 SUMMERFIELD DR
MUNHALL PA
15120-3347
US

V. Phone/Fax

Practice location:
  • Phone: 330-962-0239
  • Fax:
Mailing address:
  • Phone: 330-962-0239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW144297
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: