Individual
DR. STEVEN R. KUBACKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3418 NE 65TH ST, SEATTLE, WA 98115-7341
(206) 235-9393
(206) 517-8123
Mailing address
3418 NE 65TH ST, SEATTLE, WA 98115-7341
(206) 235-9393
(206) 517-8123
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2316
WA
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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