Provider Demographics
NPI:1699079632
Name:MACKINTOSH, MARGARET-ANNE (PHD)
Entity type:Individual
Prefix:DR
First Name:MARGARET-ANNE
Middle Name:
Last Name:MACKINTOSH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:MARGARET-ANN
Other - Middle Name:
Other - Last Name:MACKINTOSH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:3375 KOAPAKA ST STE I560
Mailing Address - Street 2:NATIONAL CENTER FOR PTSD, PACIFIC ISLANDS DIVISION
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-5202
Mailing Address - Country:US
Mailing Address - Phone:808-566-1931
Mailing Address - Fax:808-566-1885
Practice Address - Street 1:3375 KOAPAKA ST STE I560
Practice Address - Street 2:NATIONAL CENTER FOR PTSD, PACIFIC ISLANDS DIVISION
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-5202
Practice Address - Country:US
Practice Address - Phone:808-566-1931
Practice Address - Fax:808-566-1885
Is Sole Proprietor?:No
Enumeration Date:2011-01-05
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3539103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist