| Savanna Cloer Mccain Phd, Pa | |
|
4257 N Gabel Dr # 2b Fayetteville AR 72703-5004 | |
| (479) 856-6688 | |
| (479) 856-6696 |
| Full Name | Savanna Cloer Mccain Phd, Pa |
|---|---|
| Speciality | Psychologist |
| Location | 4257 N Gabel Dr # 2b, Fayetteville, Arkansas |
| Authorized Official Name and Position | Savanna Cloer Mccain (PSYCHOLOGIST) |
| Authorized Official Contact | 4798566688 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Savanna Cloer Mccain Phd, Pa 4257 N Gabel Dr # 2b Fayetteville AR 72703-5004 Ph: (479) 856-6688 | Savanna Cloer Mccain Phd, Pa 4257 N Gabel Dr # 2b Fayetteville AR 72703-5004 Ph: (479) 856-6688 |
| NPI Number | 1922470020 |
|---|---|
| Provider Enumeration Date | 10/28/2015 |
| Last Update Date | 10/28/2015 |
| Medicare PECOS PAC ID | 4789983024 |
|---|---|
| Medicare Enrollment ID | O20160509000773 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922470020 | NPI | - | NPPES |
| 142830019 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 00-11P (Arkansas) | Primary |
| Provider Name | Savanna C Mccain |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386676583 PECOS PAC ID: 1456425560 Enrollment ID: I20080808000047 |
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