MEDICARE: DR. FRANCIS J. MCCABE JR. ED.D.

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
1	103TS0200X	School Psychologist	PE1051	ME

General Provider Information

NPI Number	:	1922301902
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANCIS J. MCCABE JR. ED.D.

Provider Business Mailing Address
First Line	:	42 RACCOON RAOD
Second Line	:
City	:	CUSHING
State	:	ME
Zip	:	04563
Country	:	US
Telephone Number	:	207-354-0939
Fax Number	:	207-354-0939

Provider Business Practice Location Address
First Line	:	42 RACCOON RAOD
Second Line	:
City	:	CUSHING
State	:	ME
Zip	:	04563
Country	:	US
Telephone Number	:	207-354-0939
Fax Number	:	207-354-0939

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2010
Last Update Date	:	12/13/2010

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