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Individual

DR. DAVID JOSEPH MAHONEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
100 2ND ST E, WHITEFISH, MT 59937-2410
(406) 257-1731
Mailing address
100 2ND ST E, WHITEFISH, MT 59937-2410
(406) 257-1731

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
MT # 378
MT
103TC1900X
Counseling Psychologist
KY367
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MT# 378
LICENSE - PSYCHOLOGIST
MT
Enumeration date
03/15/2007
Last updated
01/02/2010
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