Provider Demographics
NPI:1710028915
Name:KRISTI SCHERMERHORN PH.D., P.S.
Entity Type:Organization
Organization Name:KRISTI SCHERMERHORN PH.D., P.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SCHERMERHORN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:425-882-1616
Mailing Address - Street 1:17530 NE UNION HILL RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-3387
Mailing Address - Country:US
Mailing Address - Phone:425-882-1616
Mailing Address - Fax:425-883-6241
Practice Address - Street 1:17530 NE UNION HILL RD
Practice Address - Street 2:SUITE 200
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-3387
Practice Address - Country:US
Practice Address - Phone:425-882-1616
Practice Address - Fax:425-883-6241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY 2398103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty