Healthcare Provider Details

I. General information

NPI: 1376880286
Provider Name (Legal Business Name): SOUND PSYCHOTHERAPY & ASSESSMENT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2013
Last Update Date: 09/15/2020
Certification Date: 09/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3515 SW ALASKA ST
SEATTLE WA
98126-2730
US

IV. Provider business mailing address

3515 SW ALASKA ST
SEATTLE WA
98126-2730
US

V. Phone/Fax

Practice location:
  • Phone: 206-979-8787
  • Fax: 206-309-3373
Mailing address:
  • Phone: 206-979-8787
  • Fax: 206-309-3373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY60039110
License Number StateWA

VIII. Authorized Official

Name: DR. SIERRA L SWING
Title or Position: OWNER/CLINICAL PSYCHOLOGIST
Credential: PSYD
Phone: 206-979-8787