Individual
ELIZABETH ANN KOENIG VINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
8226 BRACKEN PL SE STE 200, SNOQUALMIE, WA 98065-2935
(425) 428-9759
(425) 278-6071
Mailing address
8226 BRACKEN PL SE STE 200, SNOQUALMIE, WA 98065-2935
(425) 428-9759
(425) 278-6071
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
60386629
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025287200
—
NE
Enumeration date
07/23/2012
Last updated
04/25/2019
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