Individual
ELIZABETH KONICHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 764-2757
Mailing address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 764-2757
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY1606
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/20/2015
Last updated
02/02/2021
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