Individual
DR. COURTNEY N LAVADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
21911 76TH AVE W STE 110, EDMONDS, WA 98026-7918
(425) 640-4950
(425) 640-4958
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY61100506
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891306668
—
WA
Enumeration date
08/13/2020
Last updated
01/17/2022
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