Individual
DR. HEIDI DYLANI MONTOYA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-4410
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
60336314
WA
103TR0400X
Rehabilitation Psychologist
Primary
PY60336314
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811130735
—
WA
Enumeration date
04/07/2009
Last updated
07/12/2019
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