Healthcare Provider Details

I. General information

NPI: 1265650972
Provider Name (Legal Business Name): CHILD PSYCHOLOGY NORTHWEST, P.S.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 N 107TH ST SUITE 345, NORTHWAY EAST BUILDING
SEATTLE WA
98133-1305
US

IV. Provider business mailing address

2150 N 107TH ST SUITE 345, NORTHWAY EAST BUILDING
SEATTLE WA
98133-1305
US

V. Phone/Fax

Practice location:
  • Phone: 206-364-6565
  • Fax: 206-364-6566
Mailing address:
  • Phone: 206-364-6565
  • Fax: 206-364-6566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number StateWA
# 5
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number
License Number StateWA
# 6
Primary TaxonomyN
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number
License Number StateWA
# 7
Primary TaxonomyY
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License Number
License Number StateWA

VIII. Authorized Official

Name: DR. DEBORAH HILL
Title or Position: OWNER & CLINICAL NEUROPSYCHOLOGIST
Credential: PH.D.
Phone: 206-364-6565