Healthcare Provider Details

I. General information

NPI: 1235658634
Provider Name (Legal Business Name): JANICE LOUISE RICE PAY.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2017
Last Update Date: 09/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22717 SE 29TH ST STE D-101
SAMMAMISH WA
98075-9532
US

IV. Provider business mailing address

4421 329TH PL SE
FALL CITY WA
98024-8726
US

V. Phone/Fax

Practice location:
  • Phone: 425-269-3277
  • Fax:
Mailing address:
  • Phone: 425-677-4857
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLH60281152
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPY60607077
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: