Individual
MICHELE BEDARD-GILLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4225 ROOSEVELT WAY NE, SEATTLE, WA 98105-6099
(206) 598-7364
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
60151862
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467748004
—
WA
Enumeration date
06/22/2011
Last updated
12/04/2012
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