Provider Demographics
NPI:1306055389
Name:PRESCOTT, MARGARET VERENA (MAM)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:VERENA
Last Name:PRESCOTT
Suffix:
Gender:F
Credentials:MAM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 NW 44TH ST # 102
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-4431
Mailing Address - Country:US
Mailing Address - Phone:206-491-5239
Mailing Address - Fax:
Practice Address - Street 1:610 NW 44TH ST # 102
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-4431
Practice Address - Country:US
Practice Address - Phone:206-491-5239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist