Provider Demographics
NPI:1053521716
Name:MCMAHON, MAUREEN TRAINOR (MA)
Entity type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:TRAINOR
Last Name:MCMAHON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:MAUREEN
Other - Middle Name:TRAINOR
Other - Last Name:MCMAHON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:40 LINCOLN LN
Mailing Address - Street 2:
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-2602
Mailing Address - Country:US
Mailing Address - Phone:978-373-3086
Mailing Address - Fax:
Practice Address - Street 1:6 CONCORDIA DR
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01830-2062
Practice Address - Country:US
Practice Address - Phone:978-373-3086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health