Mary Anne Boudin is a Clinical in Renton, Washington. Mary Anne Boudin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Anne Boudin is 1932299294. The last update date is 2016-03-20.
Mary Anne Boudin's current location address is 3900 E Valley Rd, Renton, Washington. You can contact this provider via phone number 4252510698 and fax number 4252518974. The mailing address for Mary Anne Boudin is 3900 E Valley Rd, Renton, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Anne Boudin |
|---|---|
| Address | 3900 E Valley Rd, Renton, Washington |
| Phone Number | 4252510698 |
| Fax Number | 4252518974 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1932299294 |
|---|---|
| Provider Enumeration Date | 2006-10-14 |
| Last Updated Date | 2016-03-20 |
Provider Mailing Address Detail
| Address | 3900 E Valley Rd |
|---|---|
| City | Renton |
| State | Washington (WA) |
| Post Code | 980574954 |
| Phone Number | 4252510698 |
| Fax Number | 4252518974 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 1051 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1051 | WA | LICENSE | |
| G8881323 | WA | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique identifier code issued to Mary Anne Boudin by the Centers for Medicare & Medicaid Services?
The Mary Anne Boudin has been assigned the NPI (National Provider Identifier) 1932299294. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mary Anne Boudin?
The Mary Anne Boudin is situated at 3900 E Valley Rd, in the city of Renton, state of WA, with the zip code 980574954.
What is Mary Anne Boudin's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mary Anne Boudin's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1932299294 to Mary Anne Boudin?
The Centers for Medicare & Medicaid Services assigned the 1932299294 to Mary Anne Boudin on 2006-10-14.
When was the information pertaining to Mary Anne Boudin most recently updated or revised?
The details related to Mary Anne Boudin, including its address, specialty, and other relevant information, were last updated or revised on 2016-03-20.
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