Individual
JANARTHAN SIVARATNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
510 BOREN AVE N, SEATTLE, WA 98109-5501
(206) 320-5200
(206) 320-5202
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY61519949
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2168866
—
WA
Enumeration date
06/24/2019
Last updated
04/04/2025
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