=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336290899
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | PIYALE COMERT PH.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/12/2007
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4510 THACKERAY PL NE
-----------------------------------------------------
City | SEATTLE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98105-4842
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-632-3268
-----------------------------------------------------
Fax | 206-545-9223
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 319A NW 55TH ST
-----------------------------------------------------
City | SEATTLE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98107-2705
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 206-632-2350
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103TC0700X
-----------------------------------------------------
Taxonomy Name | Clinical Psychologist
-----------------------------------------------------
License Number | PY1638
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------