Earls, Mary Anne
Earls, Mary Anne is an sole proprietor health care provider with primary practice located at 9725 Se 36Th St Suite 212, Mercer Island WA 98040-3841. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Earls, Mary Anne can be contacted via phone (206) 236-5678.Contact Information
Primary practice address
9725 Se 36Th St Suite 212
Mercer Island WA 98040-3841
Phone: (206) 236-5678
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1597 | Washington |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1597 | Washington |
Profile Details
| NPI number | 1205827706 |
|---|---|
| LBN Legal business name | Earls, Mary Anne |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Jul 17th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205827706 | NPPES |
| Washington | Other | 0170514 | STATE LABOR & INDUSTRIES |
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