Provider Demographics
NPI:1083797476
Name:MACDONALD, KATE LHYLE (PHD)
Entity Type:Individual
Prefix:DR
First Name:KATE
Middle Name:LHYLE
Last Name:MACDONALD
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:325 118TH AVE SE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-3539
Mailing Address - Country:US
Mailing Address - Phone:425-442-4848
Mailing Address - Fax:425-453-7013
Practice Address - Street 1:325 118TH AVE SE
Practice Address - Street 2:SUITE 302
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-3539
Practice Address - Country:US
Practice Address - Phone:425-442-4848
Practice Address - Fax:425-452-7013
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2008-12-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WA1212103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAMA6042OtherREGENCE
WAR80189Medicare UPIN
WAMA6042OtherREGENCE