Provider Demographics
NPI:1821213943
Name:MCNAMARA, MARY EILEEN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:EILEEN
Last Name:MCNAMARA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:136 EAST AVE
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16507-1842
Mailing Address - Country:US
Mailing Address - Phone:814-453-7661
Mailing Address - Fax:814-455-1132
Practice Address - Street 1:136 EAST AVE
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16507-1842
Practice Address - Country:US
Practice Address - Phone:814-453-7661
Practice Address - Fax:814-455-1132
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD022622E2084N0400X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology