Provider Demographics
NPI:1427388560
Name:HART, SHEILA ADAMS (EDD)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:ADAMS
Last Name:HART
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:DR
Other - First Name:SHEILA
Other - Middle Name:ADAMS
Other - Last Name:AVERCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:EDD
Mailing Address - Street 1:26230 NE 34TH ST
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98053-3010
Mailing Address - Country:US
Mailing Address - Phone:425-868-3207
Mailing Address - Fax:425-868-3207
Practice Address - Street 1:5837 221ST PL. S.E.
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-8917
Practice Address - Country:US
Practice Address - Phone:425-391-0887
Practice Address - Fax:425-391-7014
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-13
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60001723103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist