# BONNIE J MCINTOSH, PHD, PS

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

## Provider details

- **NPI number:** 1588491005
- **Authorized official:** BONNIE J MCINTOSH (PRESIDENT)
- **Authorized official phone:** (206) 830-0761

## Contact information

- **Practice address:** 1104 MARKET ST, KIRKLAND, WA 98033-5441
- **Practice address phone:** (206) 830-0761
- **Mailing address:** 1104 MARKET ST, KIRKLAND, WA 98033-5441
- **Mailing address phone:** (206) 830-0761

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | Yes |
| 103T00000X | Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 09/18/2024
- **Last updated:** 09/25/2024