Provider Demographics
NPI:1699226845
Name:HELEN WIDLANSKY, PH.D.
Entity Type:Organization
Organization Name:HELEN WIDLANSKY, PH.D.
Other - Org Name:HELEN WILLEY
Other - Org Type:Other Name
Authorized Official - Title/Position:LICENSED CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:SHERWOOD
Authorized Official - Last Name:WIDLANSKY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:206-946-2365
Mailing Address - Street 1:2900 NE BLAKELEY ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-3100
Mailing Address - Country:US
Mailing Address - Phone:206-946-2365
Mailing Address - Fax:
Practice Address - Street 1:2900 NE BLAKELEY ST
Practice Address - Street 2:SUITE C
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-3100
Practice Address - Country:US
Practice Address - Phone:206-946-2365
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-21
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY60513253261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health