Individual
KATHERINE ANNE RAICHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-4295
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PY00003761
WA
103TR0400X
Rehabilitation Psychologist
Primary
PY00003761
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8532624
—
WA
Enumeration date
01/15/2009
Last updated
03/30/2009
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