Provider Demographics
NPI:1205144136
Name:MCCABE, MARIE (PHD)
Entity type:Individual
Prefix:DR
First Name:MARIE
Middle Name:
Last Name:MCCABE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 WELLS ST STE 201
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-1235
Mailing Address - Country:US
Mailing Address - Phone:518-894-4588
Mailing Address - Fax:518-895-4755
Practice Address - Street 1:7 WELLS ST STE 201
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-1235
Practice Address - Country:US
Practice Address - Phone:518-894-4588
Practice Address - Fax:518-895-4755
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-14
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04858103T00000X, 103TC2200X, 103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent