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General NPI Number Information
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NPI Number | 1699226845
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Entity Type | Organization
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Legal Business Name | HELEN WIDLANSKY, PH.D.
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Dates
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Enumeration Date | 10/21/2016
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Last Update Date | 10/21/2016
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Provider Practice Location Address
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Address Line | 2900 NE BLAKELEY ST SUITE C
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City | SEATTLE
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State | WA
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Zip | 98105-3100
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Country | US
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Telephone | 206-946-2365
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Fax |
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Provider Business Mailing Address
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Address Line | 2900 NE BLAKELEY ST SUITE C
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City | SEATTLE
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State | WA
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Zip | 98105-3100
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Country | US
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Telephone | 206-946-2365
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL PSYCHOLOGIST
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Name | DR. HELEN SHERWOOD WIDLANSKY
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Credential | PH.D.
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Telephone | 206-946-2365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | PY60513253
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License Number State | WA
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