Organization
MARIE MCDONALD, PSY.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIE HETU MCDONALD PSY.D. (PRESIDENT)
(941) 954-8978
Entity
Organization
Contact information
Practice address
51 WALLACE AVE, SARASOTA, FL 34237-6025
(941) 954-8978
Mailing address
51 WALLACE AVE, SARASOTA, FL 34237-6025
(941) 954-8978
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
PY4236
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11529802
CAQH
FL
01
—
G01AY
BCBS OF FL
FL
Enumeration date
06/12/2012
Last updated
06/15/2012
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