Provider Demographics
NPI:1346554797
Name:HARP, AMY D (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:D
Last Name:HARP
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 1:15 S GRADY WAY STE 406
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-3216
Mailing Address - Country:US
Mailing Address - Phone:206-372-7846
Mailing Address - Fax:
Practice Address - Street 1:15 S GRADY WAY STE 406
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-3216
Practice Address - Country:US
Practice Address - Phone:206-372-7846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-27
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF60096171106H00000X
WA60096171106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist