# SAMMAMISH VALLEY PSYCHOLOGICAL SERVICES, P.S.

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

## Provider details

- **NPI number:** 1154404028
- **Authorized official:** DR. GREGG T SCHIMMEL PHD (OWNER DIRECTOR)
- **Authorized official phone:** (425) 883-2623

## Contact information

- **Practice address:** 17530 NE UNION HILL RD, SUITE 210, REDMOND, WA 98052
- **Practice address phone:** (425) 883-2623
- **Practice address fax:** (425) 883-6241
- **Mailing address:** 17530 NE UNION HILL RD, SUITE 210, REDMOND, WA 98052
- **Mailing address phone:** (425) 883-2623
- **Mailing address fax:** (425) 883-6241

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | Yes |
| 103T00000X | Psychologist | — | — | Yes |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |

## Other

- **Enumeration date:** 10/23/2006
- **Last updated:** 04/10/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0043575 | DEPT OF L AND I | — |