Provider Demographics
NPI:1104069178
Name:KATE L. MACDONALD, PHD, RN, LLC
Entity type:Organization
Organization Name:KATE L. MACDONALD, PHD, RN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATE
Authorized Official - Middle Name:L
Authorized Official - Last Name:MACDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:425-442-4848
Mailing Address - Street 1:325 118TH AVE SE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-3539
Mailing Address - Country:US
Mailing Address - Phone:425-442-4848
Mailing Address - Fax:425-453-7013
Practice Address - Street 1:325 118TH AVE SE
Practice Address - Street 2:SUITE 302
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-3539
Practice Address - Country:US
Practice Address - Phone:425-442-4848
Practice Address - Fax:425-453-7013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-07
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1212103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty