Individual
KATHERINE MICHELLE PEAVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1600 S COLUMBIAN WAY, S - 116 - DDTP, SEATTLE, WA 98108-1565
(206) 764-2457
(206) 764-2192
Mailing address
9440 CALIFORNIA AVE SW, SEATTLE, WA 98136-2823
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
Other
Enumeration date
11/03/2009
Last updated
11/03/2009
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