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General NPI Number Information
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NPI Number | 1144019969
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Entity Type | Organization
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Legal Business Name | WAVECREST PSYCHOLOGICAL SERVICES, PLLC
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 220 2ND ST SUITE 101-59
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City | LANGLEY
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State | WA
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Zip | 98260
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Country | US
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Telephone | 425-298-5804
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Fax |
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Provider Business Mailing Address
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Address Line | 2226 EASTLAKE AVE E STE 1221
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City | SEATTLE
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State | WA
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Zip | 98102-3419
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | SARAH JONES
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Credential | PH.D.
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Telephone | 425-298-5804
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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