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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 5 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 1205827706 NPPES
Washington Other 0170514 STATE LABOR & INDUSTRIES

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