Individual
DR. DARLA V CAPETILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
904 7TH AVE, SEATTLE, WA 98104-1132
(206) 329-1760
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 304-8431
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY000003559
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0221560
LABOR AND INDUSTRIES
WA
05
—
1982800
—
WA
01
—
PY3559
PROFESSIONAL LICENSE
WA
Enumeration date
11/22/2006
Last updated
04/15/2022
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