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Contact Information

SEAGATE PSYCHOLOGICAL SERVICES, PLLC
2800 E MADISON ST
SUITE 302
SEATTLE, WA98112-4871
 Phone: 206-853-8257
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SEAGATE PSYCHOLOGICAL SERVICES, PLLC

NPI Number 1275948234
LBN Legal business name SEAGATE PSYCHOLOGICAL SERVICES, PLLC
Authorized official DIEDRA CLAY - (LICENSED CLINICAL PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 06/27/2014
Last updated 06/27/2014 - About 12 years ago
Identifiers
WA License # CP00000182
WA License # PY00002708
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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