# BERRETT PSYCHOLOGICAL SERVICES

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

## Provider details

- **NPI number:** 1134266091
- **Authorized official:** DR. KRISTINE MARIE BERRETT PHD (OWNER, PSYCHOLOGIST)
- **Authorized official phone:** (425) 318-0062

## Contact information

- **Practice address:** 17220 127TH PL NE STE 300, WOODINVILLE, WA 98072-7965
- **Practice address phone:** (425) 318-0062
- **Practice address fax:** (360) 387-7734
- **Mailing address:** 3020 ISSAQUAH PINE LAKE RD SE PMB 571, SAMMAMISH, WA 98075-7253
- **Mailing address phone:** (425) 318-0062
- **Mailing address fax:** (360) 387-7734

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | PY00002545 | WA | Yes |

## Other

- **Enumeration date:** 01/31/2007
- **Last updated:** 08/22/2020