Organization
EAST LAKE PSYCHOLOGICAL SERVICES, PS
Active
Organization
EAST LAKE PSYCHOLOGICAL SERVICES, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YIE -WEN YUAN KUAN PH.D. (OWNER)
(425) 785-5887
Entity
Organization
Contact information
Practice address
4026 NE 55TH ST, SUITE D, SEATTLE, WA 98105-2262
(425) 785-5887
Mailing address
4026 NE 55TH ST, SUITE D, SEATTLE, WA 98105-2262
(425) 785-5887
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 1728
WA
Other
Enumeration date
12/31/2006
Last updated
01/19/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up