Individual
ALTA DU PONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1200 5TH AVE STE 800, SEATTLE, WA 98101-3136
(206) 374-0109
(206) 374-0108
Mailing address
1200 5TH AVE STE 800, SEATTLE, WA 98101-3136
(206) 374-0109
(206) 374-0108
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
61367490
WA
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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