Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | PY60261177 | WA |
N | 103TH0004X | Health Psychologist | LL60261177 | WA |
NPI | 1134677933 |
---|---|
Provider Name | Susan Huffaker |
First Address | Bellevue, WA 98005-3982 |
Second Address | Bellevue, WA 98005-3982 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2016 |
Last Update Date | 21/09/2016 |