Individual
TARA A CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 716-5947
Mailing address
1600 S COLUMBIAN WAY, SEATTLE, WA 98108-1565
(206) 762-1010
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY61003629
WA
Other
Enumeration date
08/05/2020
Last updated
03/10/2021
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