Provider Demographics
NPI:1780719435
Name:MAUGERI, DINA (DINA MAUGERI)
Entity type:Individual
Prefix:MS
First Name:DINA
Middle Name:
Last Name:MAUGERI
Suffix:
Gender:F
Credentials:DINA MAUGERI
Other - Prefix:MS
Other - First Name:DINA
Other - Middle Name:
Other - Last Name:MAUGERI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DINA MAUGERI, LMHC
Mailing Address - Street 1:2366 EASTLAKE AVE E STE 207
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-6501
Mailing Address - Country:US
Mailing Address - Phone:206-569-8378
Mailing Address - Fax:
Practice Address - Street 1:2366 EASTLAKE AVE E STE 207
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-6501
Practice Address - Country:US
Practice Address - Phone:206-569-8378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60817212101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty