MEDICARE: DR. ANNA B. MCDONALD PSY.D.

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	103TC2200X	Clinical Child & Adolescent Psychologist	PY00003452	WA

General Provider Information

NPI Number	:	1134226806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNA B. MCDONALD PSY.D.

Provider Business Mailing Address
First Line	:	4411 POINT FOSDICK DR STE 301
Second Line	:
City	:	GIG HARBOR
State	:	WA
Zip	:	98335-1703
Country	:	US
Telephone Number	:	425-386-1945
Fax Number	:

Provider Business Practice Location Address
First Line	:	4411 POINT FOSDICK DR STE 301
Second Line	:
City	:	GIG HARBOR
State	:	WA
Zip	:	98335-1703
Country	:	US
Telephone Number	:	425-386-1945
Fax Number	:

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

Provider Enumeration Date	:	09/17/2006
Last Update Date	:	10/29/2024

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