Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | PY00003452 | WA |
NPI | 1134226806 |
---|---|
Provider Name | Dr. Anna Buskirk Mcdonald |
First Address | Gig Harbor, WA 98335-1703 |
Second Address | Gig Harbor, WA 98335-1703 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2006 |
Last Update Date | 08/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G8885923 | (02) | WA |