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General NPI Number Information
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NPI Number | 1134670433
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE PATHWAYS PSYCHOLOGY SERVICES, LLC
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Dates
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Enumeration Date | 10/21/2016
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 1021 LEGION WAY SE
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City | OLYMPIA
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State | WA
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Zip | 98501-1522
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Country | US
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Telephone | 253-204-2700
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Fax | 253-874-0459
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Provider Business Mailing Address
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Address Line | PO BOX 23633
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City | FEDERAL WAY
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State | WA
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Zip | 98093-0633
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Country | US
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Telephone | 253-204-2700
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Fax | 253-874-0459
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. LYNNE IRENE HARTMAN
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Credential | PSYD
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Telephone | 253-204-2700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | PY60608968
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License Number State | WA
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