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Contact Information

LEAPSS AND BEYOND
413 LINCOLN AVE STE A
MUKILTEO, WA98275-1524
 Phone: 559-314-4696
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LEAPSS AND BEYOND · (Female)

NPI Number 1104105816
Status Active
Credentials
Entity Individual
Enumeration date 08/11/2011
Last updated 08/11/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • WA License # PS60221926
  • WA License # PY60221926
Hospital affiliation(s) Not Available
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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