Healthcare Provider Details

I. General information

NPI: 1801651013
Provider Name (Legal Business Name): DR HU PSYCHOLOGICAL SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2024
Last Update Date: 02/16/2024
Certification Date: 02/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 OLIVE WAY STE 204
SEATTLE WA
98101-1726
US

IV. Provider business mailing address

19509 SE 141ST ST
RENTON WA
98059-7759
US

V. Phone/Fax

Practice location:
  • Phone: 206-329-5255
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DIANA HU
Title or Position: OWNER
Credential:
Phone: 206-329-5255