Provider Demographics
NPI:1689174773
Name:MOTTER, BARRY LYNN (PHD, LP)
Entity Type:Individual
Prefix:
First Name:BARRY
Middle Name:LYNN
Last Name:MOTTER
Suffix:
Gender:F
Credentials:PHD, LP
Other - Prefix:
Other - First Name:BARRY
Other - Middle Name:LYNN
Other - Last Name:LITTLETON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4780 32ND AVE S APT 217
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-2324
Mailing Address - Country:US
Mailing Address - Phone:206-829-0941
Mailing Address - Fax:
Practice Address - Street 1:1700 WESTLAKE AVE N STE 700
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-3097
Practice Address - Country:US
Practice Address - Phone:206-283-2220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-15
Last Update Date:2018-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY.60806125103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling