Individual
DR. DANIELLE NICOLE DOLEZAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA-D
Contact information
Practice address
4800 SAND POINT WAY NE, W-3621, SEATTLE, WA 98105-3901
(206) 987-2051
(206) 987-2246
Mailing address
4800 SAND POINT WAY NE, W-3621, SEATTLE, WA 98105-3901
(206) 987-2051
(206) 987-2246
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSYC.PY.60116201
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSYC.PY.60116201
PROFESSIONAL LICENSE NO.
WA
Enumeration date
01/11/2010
Last updated
06/11/2012
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