Mashburn, Martha Mae
Mashburn, Martha Mae is an sole proprietor health care provider with primary practice located at 4232 Albany Post Rd , Hyde Park NY 12538-1766. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mashburn, Martha Mae can be contacted via phone (914) 456-6734.Contact Information
Primary practice address
4232 Albany Post Rd
Hyde Park NY 12538-1766
Phone: (914) 456-6734
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R038800-1 | New York |
Profile Details
| NPI number | 1821214586 |
|---|---|
| LBN Legal business name | Mashburn, Martha Mae |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821214586 | NPPES |
| New York | Other | N464H | MAGELLAN |
| New York | Other | 7334046004 | MAGELLAN |
| New York | Other | P2797605 | MAGELLAN |
| New York | Other | 115657 | MAGELLAN |
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