Mcmahon, Marie Katherine

Mcmahon, Marie Katherine is an individual health care provider with primary practice located at 400 E Evergreen Blvd Suite #311, Vancouver WA 98660. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Mcmahon, Marie Katherine can be contacted via phone (360) 686-9594.

Contact Information

Primary practice address
400 E Evergreen Blvd Suite #311 Vancouver WA 98660
Fax: (360) 906-7111
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1636 Oregon
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY00003105 Washington

Profile Details

NPI number 1790852754
LBN Legal business name Mcmahon, Marie Katherine
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
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 1790852754 NPPES
Washington MEDICAID 7133002

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