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Contact Information

WASHINGTON STATE PSYCHOLOGICAL SERVICES, LLC
5105 200TH ST SW STE 100
LYNNWOOD, WA98036-6397
 Phone: 425-387-6972
 Fax: 425-377-0701
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for WASHINGTON STATE PSYCHOLOGICAL SERVICES LLC · (Female)

NPI # 1801130976
Status Active
Credentials
Entity Individual
Enumeration date 11/15/2012
Last updated 11/15/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • WA License # PY60014648
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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