Organization
WELLNESS AND REHABILITATION PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER STEVENSON JUTTE PHD (OWNER)
(206) 445-2664
Entity
Organization
Contact information
Practice address
10016 EDMONDS WAY STE C121, EDMONDS, WA 98020-5107
(206) 445-2664
Mailing address
10016 EDMONDS WAY STE C121, EDMONDS, WA 98020-5107
(206) 445-2664
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PY60137402
WA
103TR0400X
Rehabilitation Psychologist
Primary
PY60137402
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689980302
—
WA
Enumeration date
02/09/2018
Last updated
05/18/2020
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