Provider Demographics
NPI:1053865873
Name:COMPASSIONATE PATHWAYS PSYCHOLOGY SERVICES, LLC
Entity Type:Organization
Organization Name:COMPASSIONATE PATHWAYS PSYCHOLOGY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:LYNNE
Authorized Official - Middle Name:IRENE
Authorized Official - Last Name:HARTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:253-204-2700
Mailing Address - Street 1:PO BOX 23633
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98093-0633
Mailing Address - Country:US
Mailing Address - Phone:253-204-2700
Mailing Address - Fax:253-584-0913
Practice Address - Street 1:720 S 333RD ST STE 212
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-7358
Practice Address - Country:US
Practice Address - Phone:253-204-2700
Practice Address - Fax:253-874-0459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-10
Last Update Date:2022-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY60608968251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health