Organization
BALANCED MINDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONI TUDOR HOWARD (OWNER)
(425) 217-3546
Entity
Organization
Contact information
Practice address
11911 NE 1ST ST STE 208, BELLEVUE, WA 98005-3056
(425) 217-3546
Mailing address
11911 NE 1ST ST STE 208, BELLEVUE, WA 98005-3056
(425) 502-8341
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103T00000X
Psychologist
—
—
Other
Enumeration date
04/02/2019
Last updated
08/16/2019
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