Individual
DR. CHERYL D'ETTORRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2830 228TH AVE SE, SAMMAMISH, WA 98075-9300
(425) 614-5649
Mailing address
2830 228TH AVE SE, SAMMAMISH, WA 98075-9300
(425) 614-5649
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY60841321
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PY60841321
PSYCHOLOGIST LICENSE
WA
Enumeration date
03/11/2019
Last updated
03/11/2019
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