Organization
PACIFIC NORTHWEST PSYCHOLOGY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH KUNCHANDY PHD (PSYCHOLOGIST/OWNER)
(206) 999-4587
Entity
Organization
Contact information
Practice address
3601 FREMONT AVE N, SUITE 412, SEATTLE, WA 98103-2709
(206) 999-4587
Mailing address
17523 19TH CT NE, SHORELINE, WA 98155-5262
(206) 999-4587
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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