# SUSAN TOTH PATIEJUNAS, PH.D., LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104048958
- **Authorized official:** SUSAN KATALIN TOTH PATIEJUNAS PH.D. (PSYCHOLOGIST)
- **Authorized official phone:** (425) 241-5531

## Contact information

- **Practice address:** 1700 NW GILMAN BLVD, SUITE 205, ISSAQUAH, WA 98027-5349
- **Practice address phone:** (425) 241-5531
- **Practice address fax:** (425) 427-2477
- **Mailing address:** 1700 NW GILMAN BLVD, SUITE 205, ISSAQUAH, WA 98027-5349
- **Mailing address phone:** (425) 241-5531
- **Mailing address fax:** (425) 427-2477

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | PY00002368 | WA | Yes |

## Other

- **Enumeration date:** 05/02/2007
- **Last updated:** 08/08/2014
