Provider Demographics
NPI:1679344287
Name:MOIFORAY, MCCAY MARTIN (EDD, LGPC, MPH, CHE)
Entity Type:Individual
Prefix:DR
First Name:MCCAY
Middle Name:MARTIN
Last Name:MOIFORAY
Suffix:
Gender:M
Credentials:EDD, LGPC, MPH, CHE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9524 MEADOWS FARM DR
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-4887
Mailing Address - Country:US
Mailing Address - Phone:443-379-7593
Mailing Address - Fax:
Practice Address - Street 1:60 MELLOR AVE
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-5104
Practice Address - Country:US
Practice Address - Phone:443-379-7593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP14614101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health