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General NPI Number Information
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NPI Number | 1538627773
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Entity Type | Organization
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Legal Business Name | INSIGHT ALLIANCE PSYCHOTHERAPY, PC
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Dates
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Enumeration Date | 03/06/2019
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Last Update Date | 03/06/2019
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Provider Practice Location Address
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Address Line | 12537 15TH AVE NE STE 208
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City | SEATTLE
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State | WA
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Zip | 98125-3979
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Country | US
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Telephone | 425-559-9565
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Fax |
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Provider Business Mailing Address
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Address Line | 6741 NE 182ND ST UNIT C113
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City | KENMORE
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State | WA
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Zip | 98028-5009
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Country | US
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Telephone | 206-930-6940
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | HEATHER PATRICIA LABOUY
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Credential | PSYD
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Telephone | 206-930-6940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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