Provider Demographics
NPI:1134226806
Name:MCDONALD, ANNA B (PSYD)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:B
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MS
Other - First Name:ANNA
Other - Middle Name:BROOKE
Other - Last Name:BUSKIRK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4411 POINT FOSDICK DR STE 301
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-1703
Mailing Address - Country:US
Mailing Address - Phone:425-386-1945
Mailing Address - Fax:
Practice Address - Street 1:4411 POINT FOSDICK DR STE 301
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-1703
Practice Address - Country:US
Practice Address - Phone:425-386-1945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-17
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00003452103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8885923Medicare UPIN