Individual
DR. SAMANTHA LYNNE BERNECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2838 30TH AVE S, SEATTLE, WA 98144-6102
(814) 574-9625
Mailing address
2838 30TH AVE S, SEATTLE, WA 98144-6102
(814) 574-9625
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY61190950
WA
Other
Enumeration date
12/12/2021
Last updated
12/12/2021
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