Organization
POLARIS FAMILY BEHAVIORAL HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RINDEE G P ASHCRAFT PH.D. (LICENSED PSYCHOLOGIST)
(206) 316-2375
Entity
Organization
Contact information
Practice address
1220 116TH AVE NE STE 203, BELLEVUE, WA 98004-3826
(206) 683-3215
Mailing address
PO BOX 51004, SEATTLE, WA 98115-1004
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720147598
NPI
—
Enumeration date
05/24/2019
Last updated
08/29/2019
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