Mercer Island Psychology
Clinic/Center, Mental Health (Including Community Mental Health Center) in Mercer Island, WA. Organization (NPI-2).
NPI number1083196232
StatusActive
Last updated in NPPESSep 4, 2018
Details
- NPI
- 1083196232
- Entity type
- Organization (NPI-2)
- Legal business name
- Mercer Island Psychology
- Organization subpart
- No
- Enumeration date
- Sep 4, 2018
- Last updated
- Sep 4, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
2448 76th Ave Se Ste 201Mercer Island, WA 98040-2744
Phone 310-709-2056
Mailing address
112 32nd AveSeattle, WA 98122-6326
Phone 310-709-2056
Authorized official
Elizabeth Jones
Psychologist
3107092056
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