Organization
DR.KATIE EASTMAN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE KATE EASTMAN PSY.D, LICSW (OWNER)
(360) 873-8662
Entity
Organization
Contact information
Practice address
1909 SKYLINE WAY, SUITE 103, ANACORTES, WA 98221-2992
(360) 873-8662
(207) 433-1133
Mailing address
1909 SKYLINE WAY, SUITE 103, ANACORTES, WA 98221-2992
(360) 873-8662
(207) 433-1133
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60234810
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780838912
INDIVIDUAL PRACTITIONER NPI
WA
Enumeration date
06/17/2014
Last updated
06/17/2014
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