Healthcare Provider Details

I. General information

NPI: 1194030072
Provider Name (Legal Business Name): LUIS CARLOS RICHTER PSY.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2010
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 S COLUMBIAN WAY
SEATTLE WA
98108-1532
US

IV. Provider business mailing address

929 MARION ST #311
DENVER CO
80218-3066
US

V. Phone/Fax

Practice location:
  • Phone: 210-607-0032
  • Fax:
Mailing address:
  • Phone: 703-371-2378
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TH0004X
TaxonomyHealth Psychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number60465925
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: