Provider Demographics
NPI:1982395323
Name:MCCABE, EMILY N (PC-IT)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:N
Last Name:MCCABE
Suffix:
Gender:F
Credentials:PC-IT
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:N
Other - Last Name:IGL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PC-IT
Mailing Address - Street 1:PO BOX 8010
Mailing Address - Street 2:
Mailing Address - City:JANESVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53547-8010
Mailing Address - Country:US
Mailing Address - Phone:608-757-0404
Mailing Address - Fax:608-757-2319
Practice Address - Street 1:1 S MAIN ST
Practice Address - Street 2:
Practice Address - City:JANESVILLE
Practice Address - State:WI
Practice Address - Zip Code:53545-3977
Practice Address - Country:US
Practice Address - Phone:608-757-0404
Practice Address - Fax:608-757-2319
Is Sole Proprietor?:No
Enumeration Date:2023-05-17
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7349-226101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor