Individual
KATHRYN ANNE CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2164
Mailing address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY61013203
WA
103TC2200X
Clinical Child & Adolescent Psychologist
PY61013203
WA
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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