Individual
KATHLEEN FARRELL PAGULAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 731-3166
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY00003517
WA
103TC0700X
Clinical Psychologist
Primary
PY00003517
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225114481
—
WA
Enumeration date
10/31/2006
Last updated
08/15/2022
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