Individual
LISA E WOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1200 5TH AVE, SEATTLE, WA 98101-3132
(206) 374-0109
Mailing address
114 24TH AVE E, SEATTLE, WA 98112-5452
(206) 374-0109
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY.0004291
CO
103TC0700X
Clinical Psychologist
Primary
PSYC.PY.60730559
WA
Other
Enumeration date
11/16/2009
Last updated
04/10/2017
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