Provider Demographics
NPI:1043559990
Name:SOUND PSYCHOLOGICAL EVALUATIONS, LLC
Entity Type:Organization
Organization Name:SOUND PSYCHOLOGICAL EVALUATIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DEIRDRE
Authorized Official - Middle Name:LEAH
Authorized Official - Last Name:STONE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:206-380-2131
Mailing Address - Street 1:3213 CALIFORNIA AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116-3304
Mailing Address - Country:US
Mailing Address - Phone:206-380-2131
Mailing Address - Fax:
Practice Address - Street 1:3213 CALIFORNIA AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-3304
Practice Address - Country:US
Practice Address - Phone:206-380-2131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-12
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY60090958103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Single Specialty