Individual
DR. MENDYANN BOETTCHER MINJAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4909 25TH AVE NE, SUITE 120, SEATTLE, WA 98105-4107
(206) 987-7177
(206) 987-8081
Mailing address
PO BOX 5371, M/S CAC (SEATTLE CHILDREN'S AUTISM CENTER), SEATTLE, WA 98145-5005
(206) 987-7177
(206) 987-8081
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY 20769
CA
103TC0700X
Clinical Psychologist
Primary
PY 60121906
WA
Other
Enumeration date
07/30/2006
Last updated
04/29/2013
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