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Individual

DR. GWYNNE ODETTE KOHL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
6869 WOODLAWN AVE NE STE 200, SEATTLE, WA 98115-5469
(206) 550-1998
Mailing address
6869 WOODLAWN AVE NE STE 200, SEATTLE, WA 98115-5469
(206) 550-1998

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSYC.PY60399151
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11852
AUTHORITY TO PRACTICE TELEPSYCHOLOGY (APIT) E. PASSPORT
Enumeration date
11/13/2006
Last updated
10/20/2023
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