Individual
TERESA LYNN HASTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3512 204TH ST SW APT H105, LYNNWOOD, WA 98036-6888
(206) 790-0684
Mailing address
3512 204TH ST SW APT H105, LYNNWOOD, WA 98036-6888
(206) 790-0684
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
487
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PY00002375
CLINICAL PSYCHOLOGY LICENSE
WA
Enumeration date
03/19/2010
Last updated
05/06/2024
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