Individual
KATHIE G LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
200 W MERCER ST, SUITE 101, SEATTLE, WA 98119-3995
(206) 284-3237
(206) 281-5333
Mailing address
200 W MERCER ST, SUITE 101, SEATTLE, WA 98119-3995
(206) 284-3237
(206) 281-5333
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00000634
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7126360
—
WA
Enumeration date
11/02/2006
Last updated
07/08/2007
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