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Organization
UNDER ONE ROOF PSYCHOLOGICAL SERVICES
Active
Organization
UNDER ONE ROOF PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA BADENNA (ADMIN DIRECT)
(206) 257-0134
Entity
Organization
Contact information
Practice address
4915 25TH AVE NE STE 102W, SEATTLE, WA 98105-5667
(206) 257-0134
(206) 397-4962
Mailing address
4915 25TH AVE NE STE 102W, SEATTLE, WA 98105-5667
(206) 257-0134
(206) 397-4962
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
NULL
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
Primary
—
NULL
103T00000X
Psychologist
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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