Individual
DR. SUSANNA NELL KANTHER-RAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, MS
Contact information
Practice address
40 LAKE BELLEVUE DR, SUITE 250, BELLEVUE, WA 98005-2479
(415) 572-3803
Mailing address
40 LAKE BELLEVUE DR, SUITE 250, BELLEVUE, WA 98005-2479
(415) 572-3803
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
22038
CA
103TC0700X
Clinical Psychologist
Primary
PY60475128
WA
Other
Enumeration date
07/10/2008
Last updated
06/20/2015
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