Healthcare Provider Details

I. General information

NPI: 1437185436
Provider Name (Legal Business Name): ROBLEY K YEE PH.D., LICSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 01/15/2024
Certification Date: 01/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 LAKESIDE AVE STE F
SEATTLE WA
98122-6594
US

IV. Provider business mailing address

PO BOX 28415
SEATTLE WA
98118-8415
US

V. Phone/Fax

Practice location:
  • Phone: 206-725-6617
  • Fax: 206-725-6617
Mailing address:
  • Phone: 206-725-6617
  • Fax: 253-981-3089

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW00005083
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: