Individual
DR. JUDITH LYNNE KIRKEBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
110 PREFONTAINE PL S STE 608, SEATTLE, WA 98104-2626
(206) 389-2072
(206) 389-2083
Mailing address
608 BELMONT AVE E APT 1, SEATTLE, WA 98102-4876
(206) 328-7987
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2349
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2349
STATE PSYCHOLOGY LICENSE
WA
Enumeration date
01/08/2010
Last updated
01/08/2010
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