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Organization
SUMMIT PSYCHIATRIC SERVICES PLLC
Active
Organization
SUMMIT PSYCHIATRIC SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY GAYLE LIPKE DNP (OWNER)
(940) 536-9440
Entity
Organization
Contact information
Practice address
6100 219TH ST SW STE 480, MOUNTLAKE TERRACE, WA 98043-2222
(940) 536-9440
Mailing address
1718 164TH ST SE, MILL CREEK, WA 98012-8080
(940) 536-9440
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/20/2021
Last updated
02/20/2021
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