Healthcare Provider Details

I. General information

NPI: 1255245833
Provider Name (Legal Business Name): HART PSYCHOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 MARTIN LUTHER KING JR WAY S
SEATTLE WA
98144
US

IV. Provider business mailing address

2442 NW MARKET ST UNIT 866
SEATTLE WA
98107-4137
US

V. Phone/Fax

Practice location:
  • Phone: 425-331-9055
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. MIU EZRA HART
Title or Position: OWNER
Credential: PHD
Phone: 425-331-9055