Mcmahon, Deena M

Mcmahon, Deena M is an sole proprietor health care provider with primary practice located at 1026 Portland Ave , Saint Paul MN 55104-7036. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Mcmahon, Deena M can be contacted via phone (651) 224-7771.

Contact Information

Primary practice address
1026 Portland Ave Saint Paul MN 55104-7036
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 02318 Minnesota

Profile Details

NPI number 1588659122
LBN Legal business name Mcmahon, Deena M
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2005
Last updated Oct 8th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588659122 NPPES
Minnesota Other 1032816 BEHAVIORAL HEALTHCARE PRO
Minnesota Other 6233653 BEHAVIORAL HEALTHCARE PRO
Minnesota Other 173135 BEHAVIORAL HEALTHCARE PRO
Minnesota MEDICAID 705220100 BEHAVIORAL HEALTHCARE PRO
Minnesota Other HP37572 BEHAVIORAL HEALTHCARE PRO
Minnesota Other 223JSMC BEHAVIORAL HEALTHCARE PRO

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