Provider Demographics
NPI:1508073099
Name:CROWDER, LYNNE M (MS LMFT)
Entity Type:Individual
Prefix:
First Name:LYNNE
Middle Name:M
Last Name:CROWDER
Suffix:
Gender:F
Credentials:MS LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NORTHUP NORTH OFFICE PARK, BLDG B
Mailing Address - Street 2:2310 130TH AVE NE, SUITE 200
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005
Mailing Address - Country:US
Mailing Address - Phone:206-484-7878
Mailing Address - Fax:
Practice Address - Street 1:NORTHUP NORTH OFFICE PARK, BLDG B
Practice Address - Street 2:2310 130TH AVE NE, SUITE 200
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005
Practice Address - Country:US
Practice Address - Phone:206-484-7878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60039651106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA00038489OtherREGISTERED COUNSELOR
WA602-397-993OtherUBI