Dr. Carole Anne Coryell, M.S. , Ph.d
Psychologist in Bellevue, WA. Individual provider (NPI-1).
NPI number1558409136
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1558409136
- Entity type
- Individual (NPI-1)
- Name
- Dr. Carole Anne Coryell
- Credential
- M.S. , Ph.d
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 3, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | LH00004790 | WA | Yes |
Practice location
1715 114th Ave SeSuite 208
Bellevue, WA 98004-6945
Phone 425-260-7508
Mailing address
5000 Nw Village Park DrG-240
Issaquah, WA 98027-7875
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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