Individual
CHRISTEINE MICHELLE TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
509 OLIVE WAY STE 1360, SEATTLE, WA 98101-2555
(206) 623-5825
(206) 623-5895
Mailing address
509 OLIVE WAY, STE 1360, SEATTLE, WA 98101-2555
(206) 963-6313
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY60341032
WA
103TC0700X
Clinical Psychologist
Primary
PY60341032
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467754101
—
WA
Enumeration date
12/01/2010
Last updated
09/25/2020
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