Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | PY00001777 | WA |
NPI | 1073688586 |
---|---|
Provider Name | Lauren Schwartz, |
First Address | Seattle, WA 98107-4970 |
Second Address | Shoreline, WA 98155-1211 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2006 |
Last Update Date | 08/07/2007 |