Individual
KAYLEIGH CORPUZ O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4126 E MADISON ST STE 204, SEATTLE, WA 98112-3345
(206) 926-9901
Mailing address
4126 E MADISON ST STE 204, SEATTLE, WA 98112-3345
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
—
103TS0200X
School Psychologist
—
—
Other
Enumeration date
08/16/2021
Last updated
04/01/2022
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