Healthcare Provider Details

I. General information

NPI: 1427271394
Provider Name (Legal Business Name): DOROTHY MAY RASENER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1836 WESTLAKE AVE N STE 300A
SEATTLE WA
98109-2781
US

IV. Provider business mailing address

3431 34TH AVE W
SEATTLE WA
98199-1607
US

V. Phone/Fax

Practice location:
  • Phone: 206-286-7693
  • Fax:
Mailing address:
  • Phone: 206-286-7693
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH00004345
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number283445E
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: