Provider Demographics
NPI:1922301902
Name:MCCABE, FRANCIS J JR (EDD)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:J
Last Name:MCCABE
Suffix:JR
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 RACCOON RAOD
Mailing Address - Street 2:
Mailing Address - City:CUSHING
Mailing Address - State:ME
Mailing Address - Zip Code:04563
Mailing Address - Country:US
Mailing Address - Phone:207-354-0939
Mailing Address - Fax:207-354-0939
Practice Address - Street 1:42 RACCOON RAOD
Practice Address - Street 2:
Practice Address - City:CUSHING
Practice Address - State:ME
Practice Address - Zip Code:04563
Practice Address - Country:US
Practice Address - Phone:207-354-0939
Practice Address - Fax:207-354-0939
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-13
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPE1051103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool