Provider Demographics
NPI:1235467135
Name:SEARS, MARILYN LEE (PHD, LMFT)
Entity Type:Individual
Prefix:DR
First Name:MARILYN
Middle Name:LEE
Last Name:SEARS
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:DR
Other - First Name:MARILYN
Other - Middle Name:LEE
Other - Last Name:SEARS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, LMFT
Mailing Address - Street 1:6812 W RUTTER PKWY
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-9226
Mailing Address - Country:US
Mailing Address - Phone:509-344-0123
Mailing Address - Fax:
Practice Address - Street 1:7307 N DIVISION ST STE 311
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208-6554
Practice Address - Country:US
Practice Address - Phone:509-344-0123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-03
Last Update Date:2009-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF00001141106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist