Dr. Jennifer Stevenson Jutte
Clinical Psychologist Rehabilitation Psychologist
10016 Edmonds Way Ste C121
Edmonds
, Washington 98020-5107
Dr. Jennifer Stevenson Jutte
Clinical Psychologist Rehabilitation Psychologist
10016 Edmonds Way Ste C121
Edmonds
, Washington 98020-5107
(206) 445-2664
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About
Features
Specialties
- Clinical Psychologist
- Rehabilitation Psychologist
Languages spoken
- English
Location
First Address
- Dr. Jennifer Stevenson Jutte
- 10016 Edmonds Way Ste C121
- Edmonds, WA
- Zip : 98020-5107
- Phone : (206) 445-2664
Second Address
- Dr. Jennifer Stevenson Jutte
- 10016 Edmonds Way Ste C121
- Edmonds, WA
- Zip : 98020-5107
- Phone : (206) 445-2664
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103G00000X | Clinical Psychologist | PY60137402 | WA |
| N | 103TC0700X | Clinical Psychologist | PY60137402 | WA |
| Y | 103TR0400X | Rehabilitation Psychologist | PY60137402 | WA |
National Provider Identifier
| NPI | 1689980302 |
|---|---|
| Provider Name | Dr. Jennifer Stevenson Jutte |
| First Address | Edmonds, WA 98020-5107 |
| Second Address | Edmonds, WA 98020-5107 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/08/2010 |
| Last Update Date | 18/05/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1689980302 | (05) | WA |
| 317623 | L&I PIN (01) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.