Individual
DR. MARY ANNE EARLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
9725 SE 36TH ST, SUITE 212, MERCER ISLAND, WA 98040-3841
(206) 236-5678
Mailing address
7683 SE 27TH ST STE 103, MERCER ISLAND, WA 98040-2804
(206) 236-5678
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1597
WA
103TC0700X
Clinical Psychologist
1597
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0170514
STATE LABOR & INDUSTRIES
WA
Enumeration date
11/02/2005
Last updated
07/17/2020
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