Doctor Name: | DR. GUY JOSEPH MAHONEY |
NPI Number: | 1043232440 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D., LCSW, BCD |
License Number: | 19259 |
Business Practice Address: | 5113 Leesburg Pike Suite 901 Falls Church, VA - 220413257 |
Business Phone Number: | 7035788539 |
Business Fax Number: | |
Mailing Address: | 2908 Memory Ln, SILVER SPRING |
State: | MD |
Postal Code: | 209046855 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/24/2006 |
NPI Last Update Date: | 04/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 19259 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |