Individual
DR. SHELLEY L. MACKAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
8301 161ST AVE NE, SUITE 300, REDMOND, WA 98052-3858
(425) 885-3330
(425) 702-2474
Mailing address
8301 161ST AVE NE, SUITE 300, REDMOND, WA 98052-3858
(425) 885-3330
(425) 702-2474
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY00002353
WA
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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