Provider Demographics
NPI:1861534430
Name:MCCAIN, JOANN ELIZABETH (PSYD)
Entity type:Individual
Prefix:DR
First Name:JOANN
Middle Name:ELIZABETH
Last Name:MCCAIN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 BRANDT LN
Mailing Address - Street 2:
Mailing Address - City:SOUTHERN PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28387-4200
Mailing Address - Country:US
Mailing Address - Phone:910-639-5848
Mailing Address - Fax:910-692-1010
Practice Address - Street 1:116 BRANDT LN
Practice Address - Street 2:
Practice Address - City:SOUTHERN PINES
Practice Address - State:NC
Practice Address - Zip Code:28387-4200
Practice Address - Country:US
Practice Address - Phone:910-639-5858
Practice Address - Fax:910-692-1010
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00436900103TC0700X
NY016584103TC0700X
NC4994103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical