Provider Demographics
NPI:1134142508
Name:DOLAN, MARGARET (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:
Last Name:DOLAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:ABEL-DOLAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:901 BOREN AVE
Mailing Address - Street 2:STE 1300
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-3595
Mailing Address - Country:US
Mailing Address - Phone:425-233-0840
Mailing Address - Fax:
Practice Address - Street 1:901 BOREN AVE
Practice Address - Street 2:STE 1300
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-3595
Practice Address - Country:US
Practice Address - Phone:425-233-0840
Practice Address - Fax:206-397-0953
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY60026316103T00000X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAPY60026316OtherLICENSING BOARD
CT620000232Medicare UPIN
CT620000232Medicare ID - Type UnspecifiedMEDICARE