Provider Demographics
NPI:1174671762
Name:STEVES, JUDITH P (LMFT)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:P
Last Name:STEVES
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16701 NE 80TH ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-3937
Mailing Address - Country:US
Mailing Address - Phone:425-883-0911
Mailing Address - Fax:425-883-1234
Practice Address - Street 1:16701 NE 80TH ST
Practice Address - Street 2:SUITE 204
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-3937
Practice Address - Country:US
Practice Address - Phone:425-883-0911
Practice Address - Fax:425-883-1234
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF00001114106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAST7888OtherREGENCE PIN
5184711OtherAETNA US HEALTHCARE PIN