Provider Demographics
NPI:1558447979
Name:UHEREK, ANN M (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:M
Last Name:UHEREK
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 1:18500 156TH AVENUE NE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072
Mailing Address - Country:US
Mailing Address - Phone:206-729-2101
Mailing Address - Fax:425-398-3784
Practice Address - Street 1:18500 156TH AVENUE NE
Practice Address - Street 2:SUITE 203
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072
Practice Address - Country:US
Practice Address - Phone:206-729-2101
Practice Address - Fax:425-398-3784
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY1673103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical