Individual
MISS MARI ELIZABETH YAMAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
314 NE THORNTON PL, SEATTLE, WA 98125-9000
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY60749863
WA
103TC0700X
Clinical Psychologist
Primary
PY60749863
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649529496
—
WA
Enumeration date
09/06/2012
Last updated
08/02/2021
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