Provider Demographics
NPI:1740704873
Name:MCMAHON, PATRICIA JOY (MED, MA)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:JOY
Last Name:MCMAHON
Suffix:
Gender:F
Credentials:MED, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1832 SCOTT RD # B
Mailing Address - Street 2:
Mailing Address - City:FREELAND
Mailing Address - State:WA
Mailing Address - Zip Code:98249-9475
Mailing Address - Country:US
Mailing Address - Phone:206-794-2956
Mailing Address - Fax:
Practice Address - Street 1:1832 SCOTT RD # B
Practice Address - Street 2:
Practice Address - City:FREELAND
Practice Address - State:WA
Practice Address - Zip Code:98249-9475
Practice Address - Country:US
Practice Address - Phone:206-794-2956
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-31
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH61453590101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health