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General NPI Number Information
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NPI Number | 1942601406
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Entity Type | Individual
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Provider Name | KATHRYN EVA KORSLUND PH.D., ABPP
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Gender | Female
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Dates
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Enumeration Date | 09/15/2014
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Last Update Date | 04/04/2023
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Provider Practice Location Address
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Address Line | 1400 SE 6TH STREET SUITE 200
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City | BELLEVUE
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State | WA
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Zip | 98004
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Country | US
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Telephone | 425-454-1199
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Fax | 425-454-8779
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Provider Business Mailing Address
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Address Line | 1400 SE 6TH STREET SUITE 200
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City | BELLEVUE
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State | WA
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Zip | 98004
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Country | US
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Telephone | 425-454-1199
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Fax | 425-454-8779
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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 | PY 00002598
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY 00002598
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | PY 00002598
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License Number State | WA
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