Provider Demographics
NPI:1164650602
Name:MCCABE, MEAGAN CALLAHAN (MS)
Entity Type:Individual
Prefix:MRS
First Name:MEAGAN
Middle Name:CALLAHAN
Last Name:MCCABE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2936 WADE STEDMAN ROAD
Mailing Address - Street 2:
Mailing Address - City:STEDMAN
Mailing Address - State:NC
Mailing Address - Zip Code:28391-8889
Mailing Address - Country:US
Mailing Address - Phone:910-987-5084
Mailing Address - Fax:
Practice Address - Street 1:5841 HWY. 421 S.
Practice Address - Street 2:
Practice Address - City:BUIES CREEK
Practice Address - State:NC
Practice Address - Zip Code:27506-0457
Practice Address - Country:US
Practice Address - Phone:910-893-5727
Practice Address - Fax:910-893-6404
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-23
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7033A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist