MEDICARE: MS. ANN-MARGARET MCINTOSH MA, LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	LMFT-10295	AZ

General Provider Information

NPI Number	:	1285959973
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANN-MARGARET MCINTOSH MA, LMFT

Provider Business Mailing Address
First Line	:	134 MCGAVOCK PIKE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37214-2144
Country	:	US
Telephone Number	:	623-256-2130
Fax Number	:

Provider Business Practice Location Address
First Line	:	9825 N 95TH ST
Second Line	:	SUITE 101, IRONWOOD SQUARE VILLAGE
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85258-4590
Country	:	US
Telephone Number	:	480-941-4247
Fax Number	:	480-941-4010

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2010
Last Update Date	:	12/28/2013

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