Individual
SHARIF SHADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
403 E MEEKER ST STE 200, KENT, WA 98030-5904
(253) 852-2866
Mailing address
701 5TH AVE N, SEATTLE, WA 98109-5100
(646) 290-1772
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MC61286801
WA
103T00000X
Psychologist
071022308
IL
103T00000X
Psychologist
Primary
PY61505118
WA
Other
Enumeration date
03/16/2022
Last updated
09/04/2025
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