Organization
DR. MARY H. KOLPACOFF, INC., P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY KOLPACOFF PH.D. (PSYCHOLOGIST)
(425) 451-9492
Entity
Organization
Contact information
Practice address
1400 112TH AVE SE, #221, BELLEVUE, WA 98004-6901
(425) 451-9492
Mailing address
1400 112TH AVE SE, #221, BELLEVUE, WA 98004-6901
(425) 451-9492
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
996
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144343591
NPI
—
Enumeration date
12/14/2010
Last updated
12/14/2010
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