Provider Demographics
NPI:1275922262
Name:SACARIN, LILIANA (PSY D)
Entity Type:Individual
Prefix:DR
First Name:LILIANA
Middle Name:
Last Name:SACARIN
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5901 ROOSEVELT WAY NE
Mailing Address - Street 2:SUITE 101 C
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-2754
Mailing Address - Country:US
Mailing Address - Phone:206-522-8873
Mailing Address - Fax:
Practice Address - Street 1:5901 ROOSEVELT WAY NE
Practice Address - Street 2:SUITE 101 C
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-2754
Practice Address - Country:US
Practice Address - Phone:206-522-8873
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-14
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY60438488103TC0700X, 103TC1900X, 103TC2200X, 103TF0000X, 103TM1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities