Individual
AYA DEMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
911 N 10TH PL, RENTON, WA 98057-0009
(425) 391-5700
(425) 391-5701
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY60894200
WA
103TC0700X
Clinical Psychologist
Primary
PY60894200
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2269335
—
WA
Enumeration date
03/09/2021
Last updated
02/02/2024
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