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Organization

EVIDENCE BASED THERAPY SOLUTIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CASEY MCGINNIS PHD (OWNER)
(425) 202-5439
Entity
Organization

Contact information

Practice address
14645 NE BEL RED RD STE 203, BELLEVUE, WA 98007-3929
(425) 202-5439
Mailing address
3416 161ST CT SE APT 35, BELLEVUE, WA 98008-5763
(425) 202-5439

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
103TB0200X
Cognitive & Behavioral Psychologist
103TC0700X
Clinical Psychologist
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2306291
WA
Enumeration date
10/09/2023
Last updated
04/12/2026
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