Eastside Social Skills Therapy
NPI #1770020331 in Issaquah, Washington
Provider Information
- NPI Number
- 1770020331
- Entity Type
- Organization
- Organization Name
- Eastside Social Skills Therapy
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jan 20, 2017
- Last Updated
- Jan 20, 2017
Practice Location
- Address
- 5431 236TH PL SE
- City
- Issaquah
- State
- Washington
- ZIP Code
- 98029-6844
- Phone
- (509) 366-5572
Authorized Official
- Name
- PENNY J LATHUM, M.,ED, BCBA, AAC
- Title
- OWNER/DIRECTOR
- Phone
- (206) 380-3009
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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