Individual
DR. KATHERINE WEISSBOURD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
911 WESTERN AVE., SUITE 507, SEATTLE, WA 98104
(206) 381-5922
Mailing address
911 WESTERN AVE., SUITE 507, SEATTLE, WA 98104
(206) 381-5922
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY00001620
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7071657
—
WA
Enumeration date
10/03/2006
Last updated
07/08/2007
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