Whalio Doctors

NPI 1275642936

Amy Anderson, BALMP

Practitioner Specialist Lake Stevens, WA

Practice location

Address
12506 18th St NE, Lake Stevens, WA 98258
Phone
(425) 334-2154
Fax
(425) 377-1880
Mailing address
11910 28th Pl NE, Lake Stevens, WA 98258-9158

Registered specialties (2)

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence MA00023037 (WA)
Mental Health Counselor
Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence RC00049330 (WA)

Registry record

NPI
1275642936
Entity type
Individual
Sex (as registered)
Female
NPI issued
29 Aug 2006
Record last updated
11 Oct 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.