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Contact Information

KENYACKTIE HARTSHORN, PSY.D.
16251 SYLVESTER RD SW
BURIEN, WA98166-3017
 Phone: 253-226-1369
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KENYACKTIE HARTSHORN · (Female)

NPI # 1144510942
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 04/13/2011
Last updated 12/03/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • WA License # PY60212285
Hospital affiliation(s)
  • SAINT CLARE HOSPITAL - (Acute Care)
    11315 BRIDGEPORT WAY S W
    LAKEWOOD, WA 98499
  • ST JOSEPH MEDICAL CENTER - (Acute Care)
    1717 SOUTH J STREET
    TACOMA, WA 98405
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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