Provider Demographics
NPI:1518193432
Name:WARKENTIN, MONICA ELIZABETH (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:ELIZABETH
Last Name:WARKENTIN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22525 SE 64TH PL
Mailing Address - Street 2:SUITE 203
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-5383
Mailing Address - Country:US
Mailing Address - Phone:425-985-3233
Mailing Address - Fax:425-698-2432
Practice Address - Street 1:22525 SE 64TH PL
Practice Address - Street 2:SUITE 203
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-5383
Practice Address - Country:US
Practice Address - Phone:425-985-3233
Practice Address - Fax:425-698-2432
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-05
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPSYC.PY.60076417103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical