Individual
STACEY HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PY
Contact information
Practice address
2101 E YESLER WAY, SEATTLE, WA 98122-5959
(206) 987-7210
Mailing address
2101 E YESLER WAY, SEATTLE, WA 98122-5959
(206) 987-7210
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
60487698
WA
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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