Individual
DENISSE TIZNADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
314 NE THORNTON PL, SEATTLE, WA 98125-9000
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY29435
CA
103TC0700X
Clinical Psychologist
Primary
PY61191118
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194237982
—
WA
Enumeration date
11/01/2017
Last updated
10/18/2021
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