Healthcare Provider Details

I. General information

NPI: 1508255035
Provider Name (Legal Business Name): HONG ZHENG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/21/2015
Last Update Date: 01/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 NE NORTHGATE WAY SPC 465
SEATTLE WA
98125-8514
US

IV. Provider business mailing address

1127 141ST ST SE
MILL CREEK WA
98012-1360
US

V. Phone/Fax

Practice location:
  • Phone: 206-832-9620
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License NumberMA 60199426
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: