Individual
DR. KATHLEEN MARY MATKOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
19221 36TH AVENUE W., SUITE 207, LYNNWOOD, WA 98036
(425) 744-0890
(425) 482-1274
Mailing address
19221 36TH AVENUE W., SUITE 207, LYNNWOOD, WA 98036
(425) 744-0890
(425) 482-1274
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PY00002407
WA
103TC1900X
Counseling Psychologist
Primary
PY00002407
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1299WE
REGENCE BLUESHIELD PIN #
WA
Enumeration date
04/30/2007
Last updated
09/11/2025
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