Individual
TIARA DILLWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1959 NE PACIFIC STREET, BOX 354944, SEATTLE, WA 98195-0001
(206) 598-4720
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY60155493
WA
103TR0400X
Rehabilitation Psychologist
Primary
PY60155493
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063841641
—
WA
Enumeration date
11/05/2013
Last updated
06/20/2017
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