Organization
BRAIN HEALTH NORTHWEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD LYNN PACKARD PH.D. (PSYCHOLOGIST)
(206) 321-1017
Entity
Organization
Contact information
Practice address
219 1ST AVE S, SUITE 310, SEATTLE, WA 98104-2575
(206) 321-1017
(206) 641-3246
Mailing address
219 1ST AVE S, SUITE 310, SEATTLE, WA 98104-2575
(206) 321-1017
(206) 641-3246
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
CL60528100
WA
103TC0700X
Clinical Psychologist
Primary
1613
WA
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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