Provider Demographics
NPI:1679116321
Name:ASPINWALL THERAPY AND ASSESSMENT LLC
Entity Type:Organization
Organization Name:ASPINWALL THERAPY AND ASSESSMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:
Authorized Official - Last Name:BRUNS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:206-659-6372
Mailing Address - Street 1:2470 WESTLAKE AVE N STE 101
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-2282
Mailing Address - Country:US
Mailing Address - Phone:206-659-6372
Mailing Address - Fax:206-536-1217
Practice Address - Street 1:2470 WESTLAKE AVE N STE 101
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-2282
Practice Address - Country:US
Practice Address - Phone:206-659-6372
Practice Address - Fax:206-536-1217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-25
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty