Healthcare Provider Details

I. General information

NPI: 1770347742
Provider Name (Legal Business Name): ELIZABETH ASHLEY BISI PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/09/2024
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10700 MERIDIAN AVE N STE 506
SEATTLE WA
98133-9030
US

IV. Provider business mailing address

929 N 145TH ST UNIT 33337
SEATTLE WA
98133-1116
US

V. Phone/Fax

Practice location:
  • Phone: 206-659-6235
  • Fax: 206-710-2750
Mailing address:
  • Phone: 206-659-6235
  • Fax: 206-710-2750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY61257971
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: