Provider Demographics
NPI:1376651927
Name:ROCKWELL-MCCOMBS, SIDNEY KAY (MA)
Entity Type:Individual
Prefix:MS
First Name:SIDNEY
Middle Name:KAY
Last Name:ROCKWELL-MCCOMBS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19031 33RD AVE W
Mailing Address - Street 2:STE 303
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-4731
Mailing Address - Country:US
Mailing Address - Phone:425-640-7919
Mailing Address - Fax:425-640-9087
Practice Address - Street 1:19031 33RD AVE W
Practice Address - Street 2:STE 303
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-4731
Practice Address - Country:US
Practice Address - Phone:425-640-7919
Practice Address - Fax:425-640-9087
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00004014101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health