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NPI Code Detail

MEDICARE: DEXTINY MCCAIN LPA, HSP-PA

MEDICARE:   DEXTINY  MCCAIN  LPA, HSP-PA
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
1103T00000XPsychologist6973NC

General Provider Information

NPI Number : 1710843487
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEXTINY MCCAIN LPA, HSP-PA
Provider Business Mailing Address
First Line : 7710 FERRY LAUNCH WAY APT 5207
Second Line :
City : RALEIGH
State : NC
Zip : 27617-8685
Country : US
Telephone Number : 984-259-6200
Fax Number :
Provider Business Practice Location Address
First Line : 2310 S MIAMI BLVD STE 142
Second Line :
City : DURHAM
State : NC
Zip : 27703-4900
Country : US
Telephone Number : 984-212-3008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2025
Last Update Date : 12/26/2025

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Directions to “ DEXTINY MCCAIN LPA, HSP-PA” Practice Location

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