Provider Demographics
NPI:1770640906
Name:YURCHAK, S. HARRIET (PHD)
Entity Type:Individual
Prefix:DR
First Name:S.
Middle Name:HARRIET
Last Name:YURCHAK
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 1:620 131ST AVE NE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-3345
Mailing Address - Country:US
Mailing Address - Phone:425-941-9236
Mailing Address - Fax:425-223-5051
Practice Address - Street 1:5318 CHIEF BROWN LN
Practice Address - Street 2:
Practice Address - City:DARRINGTON
Practice Address - State:WA
Practice Address - Zip Code:98241-9420
Practice Address - Country:US
Practice Address - Phone:360-436-1400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2009-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW00006120103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical