Eastside Social Skills Therapy LLC
NPI #1659765816 in Issaquah, Washington
Provider Information
- NPI Number
- 1659765816
- Entity Type
- Organization
- Organization Name
- Eastside Social Skills Therapy LLC
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Mar 26, 2015
- Last Updated
- Mar 26, 2015
Practice Location
- Address
- 5436 232ND AVE SE
- City
- Issaquah
- State
- Washington
- ZIP Code
- 98029
- Phone
- (206) 380-3009
Authorized Official
- Name
- PENNY J LATHUM, M.ED, BCBA
- Title
- OWNER
- Phone
- (206) 380-3009
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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