Healthcare Provider Details

I. General information

NPI: 1821293895
Provider Name (Legal Business Name): PATRICIA A READY PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TRISHA READY PH.D.

II. Dates (important events)

Enumeration Date: 06/19/2007
Last Update Date: 07/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 28TH AVE E
SEATTLE WA
98112-4146
US

IV. Provider business mailing address

PO BOX 22193
SEATTLE WA
98122-0193
US

V. Phone/Fax

Practice location:
  • Phone: 206-661-6925
  • Fax:
Mailing address:
  • Phone: 206-661-6925
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY60238402
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA00023159
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: