Individual
DR. TERESA PIACENTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4800 SAND POINT WAY NE, M/S 3636, SEATTLE, WA 98105-3901
(206) 987-2164
Mailing address
4800 SAND POINT WAY NE, MS W-3636, SEATTLE, WA 98105-3901
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00003313
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8439580
—
WA
05
—
PS480WA
—
AK
Enumeration date
10/23/2006
Last updated
07/16/2007
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