Individual
STEPHEN SULZBACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2000
Mailing address
4500 SAND POINT WAY NE, #100, SEATTLE, WA 98105-3900
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PY00000379
WA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY00000379
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2610
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8412306
—
WA
Enumeration date
10/17/2006
Last updated
02/12/2009
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