MEDICARE: DR. ELIZABETH ASHLEY BISI PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PY61257971	WA

General Provider Information

NPI Number	:	1770347742
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIZABETH ASHLEY BISI PHD

Provider Business Mailing Address
First Line	:	929 N 145TH ST UNIT 33337
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98133-1116
Country	:	US
Telephone Number	:	206-659-6235
Fax Number	:	206-710-2750

Provider Business Practice Location Address
First Line	:	10700 MERIDIAN AVE N STE 506
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98133-9030
Country	:	US
Telephone Number	:	206-659-6235
Fax Number	:	206-710-2750

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2024
Last Update Date	:	05/28/2026

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