Northwest Behavioral Associates

NPI #1861615122 in Bellevue, Washington

Provider Information

NPI Number: 1861615122
Entity Type: Organization
Organization Name: Northwest Behavioral Associates
Primary Specialty: Specialist
Enumeration Date: Apr 11, 2007
Last Updated: Oct 5, 2007

Practice Location

Address: 3003 NORTHUP WAY STE 200
City: Bellevue
State: Washington
ZIP Code: 98004-1471
Phone: (425) 822-6442

Authorized Official

Name: DR. STACEY LYNN SHOOK, PH.D.
Title: DIRECTOR
Phone: (425) 822-6442

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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