Provider Demographics
NPI:1528386075
Name:DAWN MCFARLAND PSYD LLC
Entity Type:Organization
Organization Name:DAWN MCFARLAND PSYD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MCFARLAND
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:314-368-9646
Mailing Address - Street 1:902 ARLINGTON GLEN DR
Mailing Address - Street 2:
Mailing Address - City:FENTON
Mailing Address - State:MO
Mailing Address - Zip Code:63026-3971
Mailing Address - Country:US
Mailing Address - Phone:314-368-9646
Mailing Address - Fax:636-326-7696
Practice Address - Street 1:1101 GRAVOIS RD
Practice Address - Street 2:SUITE B
Practice Address - City:FENTON
Practice Address - State:MO
Practice Address - Zip Code:63026-4580
Practice Address - Country:US
Practice Address - Phone:314-368-9646
Practice Address - Fax:636-326-7696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-07
Last Update Date:2010-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001014362103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty