Individual
DR. URSULA WHITESIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2331 E MADISON ST, SEATTLE, WA 98112-5416
(206) 679-6349
Mailing address
2331 E MADISON ST, SEATTLE, WA 98112-5416
(206) 679-6349
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60265517
WA
Other
Enumeration date
03/08/2012
Last updated
12/26/2016
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