Provider Demographics
NPI:1447595103
Name:PUGET SOUND MENTAL HEALTH PS INC.
Entity Type:Organization
Organization Name:PUGET SOUND MENTAL HEALTH PS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:INDRA
Authorized Official - Middle Name:ANNETTE
Authorized Official - Last Name:FINCH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:253-581-1423
Mailing Address - Street 1:6108 COMMUNITY PL SW
Mailing Address - Street 2:SUITE 3
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-2447
Mailing Address - Country:US
Mailing Address - Phone:253-581-1423
Mailing Address - Fax:253-581-1425
Practice Address - Street 1:6108 COMMUNITY PL SW
Practice Address - Street 2:SUITE 3
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-2447
Practice Address - Country:US
Practice Address - Phone:253-581-1423
Practice Address - Fax:253-581-1425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-06
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensicGroup - Multi-Specialty
No2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic PsychiatryGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty