Individual
DR. MARISSA OHLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4860 RAINIER AVENUE S STE C, SEATTLE, WA 98118
(206) 531-4548
Mailing address
3518 FREMONT AVE N # 325, SEATTLE, WA 98103-8814
(206) 531-4548
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
PY60894649
WA
Other
Enumeration date
02/06/2019
Last updated
10/26/2022
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