DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: EMALISE LUZZO MITCHELL

MEDICARE: EMALISE LUZZO MITCHELL
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
1103TS0200XSchool Psychologist

General Provider Information

NPI Number : 1790478295
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMALISE LUZZO MITCHELL
Provider Business Mailing Address
First Line : 4126 E MADISON ST STE 204
Second Line :
City : SEATTLE
State : WA
Zip : 98112-3345
Country : US
Telephone Number : 206-926-9901
Fax Number :
Provider Business Practice Location Address
First Line : 4126 E MADISON ST STE 204
Second Line :
City : SEATTLE
State : WA
Zip : 98112-3345
Country : US
Telephone Number : 206-926-9901
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2023
Last Update Date : 05/31/2023

Similar Medicare Providers

1619809365 — ELISABETH CORRINE COWIN
Practice Location Address:
4126 E MADISON ST STE 204
SEATTLE, WA
98112-3345
Practice Phone: 206-926-9901
Practice Fax:
1013532274 — DR. SHELLEY M BARBER PHD
Practice Location Address:
4126 E MADISON ST STE 204
SEATTLE, WA
98112-3345
Practice Phone: 206-926-9901
Practice Fax:
1689349151 — KAYLEIGH CORPUZ O'DONNELL PHD
Practice Location Address:
4126 E MADISON ST STE 204
SEATTLE, WA
98112-3345
Practice Phone: 206-926-9901
Practice Fax:
1417686965 — KAREN PAVLIDIS PLLC
Practice Location Address:
4126 E MADISON ST STE 204
SEATTLE, WA
98112-3345
Practice Phone: 206-926-9901
Practice Fax:
1720703580 — LEIGH ANNA EISELE MS, LMHC, LCPC
Practice Location Address:
4126 E MADISON ST STE 204
SEATTLE, WA
98112-3345
Practice Phone: 206-926-9901
Practice Fax:
1104519313 — LINDSEY GREEN
Practice Location Address:
4126 E MADISON ST STE 204
SEATTLE, WA
98112-3345
Practice Phone: 706-473-8588
Practice Fax:

Directions to “ EMALISE LUZZO MITCHELL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.