Individual
DR. ELIZABETH LAKE IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5837 221ST PL SE, ISSAQUAH, WA 98027-8917
(425) 391-0887
Mailing address
5837 221ST PL SE, ISSAQUAH, WA 98027-8917
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00003798
WA
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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