Provider Demographics
NPI:1871550673
Name:MCCABE, EUGENE P (PSYD)
Entity type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:P
Last Name:MCCABE
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 DALEY BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14617-3822
Mailing Address - Country:US
Mailing Address - Phone:585-544-7619
Mailing Address - Fax:
Practice Address - Street 1:3700 EAST AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-3527
Practice Address - Country:US
Practice Address - Phone:585-248-8740
Practice Address - Fax:585-248-8126
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY06361103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist