Individual
IRMARY RODRIGUEZ RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 5TH AVE STE 800, SEATTLE, WA 98101-3136
(206) 374-0109
(206) 374-0108
Mailing address
1200 5TH AVE STE 800, SEATTLE, WA 98101-3136
(206) 374-0109
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071008551
IL
103TC0700X
Clinical Psychologist
Primary
PY61524546
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/01/2021
Last updated
06/21/2024
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