Healthcare Provider Details

I. General information

NPI: 1548732589
Provider Name (Legal Business Name): MARTA PICOTO PSYCHOLOGIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/31/2018
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BOX 357921 IHCD CD-205
SEATTLE WA
98195-0001
US

IV. Provider business mailing address

BOX 357921 IHCD CD-205
SEATTLE WA
98195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 206-221-6806
  • Fax:
Mailing address:
  • Phone: 206-221-6806
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSYC.PY.70046182
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: