Individual
DR. EARLINE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
55 1ST PL NW, ISSAQUAH, WA 98027-3271
(425) 392-0277
(425) 392-2509
Mailing address
55 1ST PL NW, ISSAQUAH, WA 98027-3271
(425) 392-0277
(425) 392-2509
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY00001412
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5284674
AETNA US HEALTHCARE ID
—
01
—
AN9961
REGENCE PIN #
—
Enumeration date
11/14/2006
Last updated
07/08/2007
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