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NPI 1659019859

NPI 1659019859 : LINDSEY ANNE MARSHALL : OLYMPIA, WA

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General NPI Number Information
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    NPI Number           |    1659019859
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    Entity Type          |    Individual 
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    Provider Name        |    LINDSEY ANNE MARSHALL
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/26/2022
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    Last Update Date     |    12/04/2025
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Provider Practice Location Address
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    Address Line         |    402 YAUGER WAY SW 
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    City                 |    OLYMPIA
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    State                |    WA
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    Zip                  |    98502-8660
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    Country              |    US
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    Telephone            |    360-878-8248
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    955 POWELL AVE SW 
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    City                 |    RENTON
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    State                |    WA
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    Zip                  |    98057-2908
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    Country              |    US
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    Telephone            |    425-277-1311
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    Fax                  |    425-277-1566
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    PY61642590
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    License Number State |    WA
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Taxonomy #2
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    
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    License Number State |    WA
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