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NPI Code Detail

MEDICARE: ELAINE HARTMAN MCGANN PHD

MEDICARE: ELAINE HARTMAN MCGANN PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist0810002855VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1084301MOTHERVASENTARA
2453345OTHERVAANTHEM

General Provider Information

NPI Number : 1679574446
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELAINE HARTMAN MCGANN PHD
Provider Business Mailing Address
First Line : 6356 RAWLEY PIKE
Second Line :
City : HINTON
State : VA
Zip : 22831-2001
Country : US
Telephone Number : 540-867-5854
Fax Number :
Provider Business Practice Location Address
First Line : 1241 N MAIN ST
Second Line :
City : HARRISONBURG
State : VA
Zip : 22802-4632
Country : US
Telephone Number : 540-434-1941
Fax Number : 540-433-8277
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2005
Last Update Date : 02/07/2008

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