August, Mary Kay

August, Mary Kay is an individual health care provider with primary practice located at 10200 Nw Alder Grove Ln , Portland OR 97229-7584. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. August, Mary Kay can be contacted via phone (240) 409-5798.

Contact Information

Primary practice address
10200 Nw Alder Grove Ln Portland OR 97229-7584
Phone: (240) 409-5798
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 02183 Maryland
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1810 Oregon

Profile Details

NPI number 1326042169
LBN Legal business name August, Mary Kay
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326042169 NPPES
Maryland Other 48341 MAMSI

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