Individual
FELICIA PETRA MATA-GREVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PY61274672
WA
103TR0400X
Rehabilitation Psychologist
Primary
PY61274672
WA
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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