Provider Demographics
NPI:1760617351
Name:FALK, DANA RACHEL (PHD)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:RACHEL
Last Name:FALK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4761 SW EDDY ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98136-1311
Mailing Address - Country:US
Mailing Address - Phone:206-935-4717
Mailing Address - Fax:
Practice Address - Street 1:312 N 85TH ST
Practice Address - Street 2:SUITE 106
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-3659
Practice Address - Country:US
Practice Address - Phone:206-926-3866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-26
Last Update Date:2014-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1847103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist