Individual
DR. ELIZABETH TAM DEXTER-MAZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
5122 25TH AVE NE, SEATTLE, WA 98105-4121
(206) 779-1265
Mailing address
7732 29TH AVE NW, SEATTLE, WA 98117-4619
(206) 779-1265
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3286
WA
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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