Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | PY60675707 | WA |
NPI | 1104106939 |
---|---|
Provider Name | Dr. Sara Elisabeth Tapsak |
First Address | Issaquah, WA 98027-8127 |
Second Address | Issaquah, WA 98027-8127 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2011 |
Last Update Date | 28/11/2016 |