Organization
EASTSIDE FAMILY INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY KEENAN REID (PSYCHOLOGIST)
(425) 481-5700
Entity
Organization
Contact information
Practice address
1700 NW GILMAN BLVD STE 205, ISSAQUAH, WA 98027-5364
(425) 481-5700
Mailing address
1700 NW GILMAN BLVD STE 205, ISSAQUAH, WA 98027-5364
(425) 481-5700
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
602881905
WA
Other
Enumeration date
08/17/2009
Last updated
08/17/2009
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