Provider Demographics
NPI:1326292756
Name:BRASHEN, BEVERLY (PHD)
Entity Type:Individual
Prefix:DR
First Name:BEVERLY
Middle Name:
Last Name:BRASHEN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10940 NE 33RD PL STE 109
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-1432
Mailing Address - Country:US
Mailing Address - Phone:425-417-9727
Mailing Address - Fax:
Practice Address - Street 1:10940 NE 33RD PL STE 109
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-1432
Practice Address - Country:US
Practice Address - Phone:425-417-9727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-12
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA101YM0800XLH00006794101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health