Healthcare Provider Details

I. General information

NPI: 1427961705
Provider Name (Legal Business Name): MAYA KATTAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27827 256TH CT SE
MAPLE VALLEY WA
98038-2032
US

IV. Provider business mailing address

27827 256TH CT SE
MAPLE VALLEY WA
98038-2032
US

V. Phone/Fax

Practice location:
  • Phone: 253-766-7808
  • Fax:
Mailing address:
  • Phone: 253-766-7808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMG.70163492
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: