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General NPI Number Information
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NPI Number | 1952654204
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Entity Type | Organization
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Legal Business Name | KATE LUND PSYCHOLOGY, PLLC
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Dates
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Enumeration Date | 10/24/2012
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Last Update Date | 04/30/2013
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Provider Practice Location Address
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Address Line | 300 ADMIRAL WAY SUITE 207
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City | EDMONDS
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State | WA
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Zip | 98020-7230
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Country | US
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Telephone | 425-231-1602
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 162
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City | EDMONDS
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State | WA
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Zip | 98020-0162
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Country | US
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Telephone | 425-231-1602
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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 | DR. KATE K. LUND
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Credential | PSY.D.
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Telephone | 425-231-1602
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | PY60232876
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License Number State | WA
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