Individual
BETHANY BALKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY. D, L.P.
Contact information
Practice address
19803 N CREEK PKWY STE 205, BOTHELL, WA 98011-5014
(360) 990-4699
Mailing address
19803 N CREEK PKWY STE 205, BOTHELL, WA 98011-5014
(360) 990-4699
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY 60422467
WA
Other
Enumeration date
12/23/2015
Last updated
08/13/2022
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