Healthcare Provider Details

I. General information

NPI: 1578509246
Provider Name (Legal Business Name): PATRICIA J STERN LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 12/08/2023
Certification Date: 12/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4445 TALBOT RD S
RENTON WA
98055-6219
US

IV. Provider business mailing address

4445 TALBOT RD S
RENTON WA
98055-6219
US

V. Phone/Fax

Practice location:
  • Phone: 425-656-4055
  • Fax: 425-656-5425
Mailing address:
  • Phone: 425-656-4055
  • Fax: 425-656-5425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLF00001191
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: