Whalio Doctors

NPI 1013039551

Elizabeth Tam Dexter-Mazza, PSYD

Practitioner Clinical Psychologist Seattle, WA

Practice location

Address
5122 25th Ave NE, Seattle, WA 98105-4121
Phone
(206) 779-1265
Mailing address
7732 29th Ave NW, Seattle, WA 98117-4619

Registered specialties

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 3286 (WA)

Registry record

NPI
1013039551
Entity type
Individual
Sex (as registered)
Female
NPI issued
4 Apr 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.