Individual
MCKENNA N COSOTTILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4744 41ST AVE SW STE 101, SEATTLE, WA 98116-4566
(206) 320-5780
(206) 320-5794
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY61150885
WA
Other
Enumeration date
05/14/2017
Last updated
07/13/2021
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