Mayberry, Ross Lowell

Mayberry, Ross Lowell is an sole proprietor health care provider with primary practice located at 1402 10Th Pl N , Edmonds WA 98020-2629. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Mayberry, Ross Lowell can be contacted via phone (206) 735-9592.

Contact Information

Primary practice address
1402 10Th Pl N Edmonds WA 98020-2629
Phone: (206) 735-9592
Fax: (206) 323-7324
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X PSY 1297 Washington
Behavioral Health & Social Service Providers / Psychologist 103T00000X WAPSY1297 Washington

Profile Details

NPI number 1609948678
LBN Legal business name Mayberry, Ross Lowell
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2006
Last updated Jan 25th, 2024 - about last year

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 1609948678 NPPES
Other 91-1985428 TAX ID #

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