Individual
DR. SHAWN V MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4400 EAST-WEST HWY, SUITE 1028, BETHESDA, MD 20814-4511
(301) 358-6421
(301) 907-3241
Mailing address
4400 EAST-WEST HWY, SUITE 1028, BETHESDA, MD 20814-4511
(301) 358-6421
(301) 907-3241
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LC2720
MD
103T00000X
Psychologist
Primary
04666
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024811800
—
MD
01
—
633364MD
VALUE OPTIONS
MD
01
—
M8610001
BLUECROSS/BLUESHIELD
MD
Enumeration date
05/07/2008
Last updated
10/12/2012
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