Provider Demographics
NPI:1396075495
Name:MCCLINCEY, SNEHA L A (PSYD)
Entity type:Individual
Prefix:DR
First Name:SNEHA
Middle Name:L A
Last Name:MCCLINCEY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 W BAKERVIEW RD
Mailing Address - Street 2:STE 110 (BAKERVIEW SQUARE BUSINESS SUITES) - OFFICE 148
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-8184
Mailing Address - Country:US
Mailing Address - Phone:360-383-7429
Mailing Address - Fax:
Practice Address - Street 1:410 W BAKERVIEW RD STE 110
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-8184
Practice Address - Country:US
Practice Address - Phone:360-305-3275
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-12
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60688114101YM0800X
WAPY60737927103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health