Provider Demographics
NPI:1497023006
Name:HULSLANDER, DANA TIEDEMANN (MPS, LMHC)
Entity Type:Individual
Prefix:MS
First Name:DANA
Middle Name:TIEDEMANN
Last Name:HULSLANDER
Suffix:
Gender:F
Credentials:MPS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6912 220TH ST SW
Mailing Address - Street 2:SUITE 213
Mailing Address - City:MOUNTLAKE TERRACE
Mailing Address - State:WA
Mailing Address - Zip Code:98043-2169
Mailing Address - Country:US
Mailing Address - Phone:425-672-2716
Mailing Address - Fax:425-672-2720
Practice Address - Street 1:6912 220TH ST SW
Practice Address - Street 2:SUITE 213
Practice Address - City:MOUNTLAKE TERRACE
Practice Address - State:WA
Practice Address - Zip Code:98043-2169
Practice Address - Country:US
Practice Address - Phone:425-672-2716
Practice Address - Fax:425-672-2720
Is Sole Proprietor?:No
Enumeration Date:2011-12-09
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH 60165759101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health