Individual
MANDY D OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
9100 ROOSEVELT WAY NE APT 304, SEATTLE, WA 98115-2803
(206) 659-7542
Mailing address
9100 ROOSEVELT WAY NE APT 304, SEATTLE, WA 98115-2803
(206) 659-7542
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY60721390
WA
103TC0700X
Clinical Psychologist
Primary
PY60721390
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750776241
—
WA
Enumeration date
04/01/2015
Last updated
11/01/2021
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