MEDICARE: DR. MARGARET JEAN MCMAHON PH.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	103TC0700X	Clinical Psychologist	25616	TX

General Provider Information

NPI Number	:	1417975707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARGARET JEAN MCMAHON PH.D.

Provider Business Mailing Address
First Line	:	2301 OHIO DR STE 202
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-3902
Country	:	US
Telephone Number	:	214-923-6778
Fax Number	:	972-769-9357

Provider Business Practice Location Address
First Line	:	2301 OHIO DR STE 202
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-3902
Country	:	US
Telephone Number	:	214-923-6778
Fax Number	:	972-769-9357

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

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	07/08/2007

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