Ciera Caprice Botzheim, PSYD

NPI #1255754594 in Medical Lake, Washington

Provider Information

NPI Number: 1255754594
Entity Type: Individual
Name: Ciera Caprice Botzheim, PSYD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PSYD
Enumeration Date: Jan 22, 2014
Last Updated: Jul 18, 2018

Practice Location

Address: EASTERN STATE HOSPITAL
Address 2: 850 MAPLE STREET
City: Medical Lake
State: Washington
ZIP Code: 99022-0800
Phone: (509) 565-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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