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NPI Code Detail

MEDICARE: KRISTEN ELIZABETH WEIGAND MICHENER PH.D.

MEDICARE:   KRISTEN ELIZABETH WEIGAND MICHENER  PH.D.
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
1103TC2200XClinical Child & Adolescent PsychologistPY60329475WA

General Provider Information

NPI Number : 1801038120
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN ELIZABETH WEIGAND MICHENER PH.D.
Provider Business Mailing Address
First Line : 13037 9TH AVE NW
Second Line :
City : SEATTLE
State : WA
Zip : 98177-4101
Country : US
Telephone Number : 216-509-1998
Fax Number :
Provider Business Practice Location Address
First Line : 1920 TERRY AVE FL 3
Second Line :
City : SEATTLE
State : WA
Zip : 98101-1425
Country : US
Telephone Number : 206-884-2558
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2009
Last Update Date : 10/16/2024

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Directions to “ KRISTEN ELIZABETH WEIGAND MICHENER PH.D.” Practice Location

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