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NPI Code Detail

MEDICARE: SOUND PSYCHOTHERAPY & ASSESSMENT, LLC

MEDICARE: SOUND PSYCHOTHERAPY & ASSESSMENT, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPY60039110WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1835846OTHERWAPREMERA
20041SWOTHERWAREGENCE

General Provider Information

NPI Number : 1376880286
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUND PSYCHOTHERAPY & ASSESSMENT, LLC
Provider Business Mailing Address
First Line : 3515 SW ALASKA ST
Second Line :
City : SEATTLE
State : WA
Zip : 98126-2730
Country : US
Telephone Number : 206-979-8787
Fax Number : 206-309-3373
Provider Business Practice Location Address
First Line : 3515 SW ALASKA ST
Second Line :
City : SEATTLE
State : WA
Zip : 98126-2730
Country : US
Telephone Number : 206-979-8787
Fax Number : 206-309-3373
Authorized Official
Title or Position : OWNER/CLINICAL PSYCHOLOGIST
Name : DR. SIERRA L SWING
Credential : PSYD
Telephone Number : 206-979-8787
Provider Enumeration Date : 01/11/2013
Last Update Date : 09/15/2020

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Directions to “SOUND PSYCHOTHERAPY & ASSESSMENT, LLC ” Practice Location

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