Provider Demographics
NPI:1881719649
Name:MCQUIRK, BETTY ANN (MS)
Entity type:Individual
Prefix:MS
First Name:BETTY
Middle Name:ANN
Last Name:MCQUIRK
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 W CATALDO
Mailing Address - Street 2:#220
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201
Mailing Address - Country:US
Mailing Address - Phone:509-624-5826
Mailing Address - Fax:509-624-1418
Practice Address - Street 1:111 W CATALDO
Practice Address - Street 2:#220
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201
Practice Address - Country:US
Practice Address - Phone:509-624-5826
Practice Address - Fax:509-624-1418
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00004982101YM0800X
IDLCPC3302101YP2500X
WALF00001215106H00000X
IDLMFT3013106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist