Provider Demographics
NPI:1497798623
Name:MCDONALD, MAURA FRANCES (MFT)
Entity Type:Individual
Prefix:MRS
First Name:MAURA
Middle Name:FRANCES
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 DOVE ST STE 140
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-2404
Mailing Address - Country:US
Mailing Address - Phone:949-833-3570
Mailing Address - Fax:949-494-8491
Practice Address - Street 1:1600 DOVE ST STE 140
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-2404
Practice Address - Country:US
Practice Address - Phone:949-833-3570
Practice Address - Fax:949-494-8491
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2018-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32368106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist