Organization
TRACEY WARD PLLC
Active
Other names
Brave Seattle
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACEY WARD PHD (CLINICAL DIRECTOR)
(206) 651-5514
Entity
Organization
Contact information
Practice address
1700 WESTLAKE AVE N STE 400, SEATTLE, WA 98109-6236
(206) 651-5514
Mailing address
1700 WESTLAKE AVE N STE 400, SEATTLE, WA 98109-6236
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396377735
CMS
WA
Enumeration date
04/28/2023
Last updated
04/28/2023
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