Healthcare Provider Details

I. General information

NPI: 1659910057
Provider Name (Legal Business Name): CAITLIN S MORIN PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2020
Last Update Date: 04/18/2025
Certification Date: 04/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1410 NE CAMPUS PKWY RM 401
SEATTLE WA
98195-4527
US

IV. Provider business mailing address

7615 S 134TH ST
SEATTLE WA
98178-5112
US

V. Phone/Fax

Practice location:
  • Phone: 206-543-1240
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY60531204
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: