Provider Demographics
NPI:1982770368
Name:MCCOY, RITA L I (MA LLP)
Entity Type:Individual
Prefix:MRS
First Name:RITA
Middle Name:L
Last Name:MCCOY
Suffix:I
Gender:F
Credentials:MA LLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 BARRY ST
Mailing Address - Street 2:
Mailing Address - City:HILLSDALE
Mailing Address - State:MI
Mailing Address - Zip Code:49242-1809
Mailing Address - Country:US
Mailing Address - Phone:517-437-5538
Mailing Address - Fax:517-437-5538
Practice Address - Street 1:55 BARRY ST
Practice Address - Street 2:
Practice Address - City:HILLSDALE
Practice Address - State:MI
Practice Address - Zip Code:49242-1809
Practice Address - Country:US
Practice Address - Phone:517-437-5538
Practice Address - Fax:517-437-5538
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301010372103TC1900X
MI6801064623104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Not Answered104100000XBehavioral Health & Social Service ProvidersSocial Worker