Provider Demographics
NPI:1770662892
Name:HAIT, JUDY K (LMFT, PLLC)
Entity Type:Individual
Prefix:MS
First Name:JUDY
Middle Name:K
Last Name:HAIT
Suffix:
Gender:F
Credentials:LMFT, PLLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20016 CEDAR VALLEY RD STE 104
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-6332
Mailing Address - Country:US
Mailing Address - Phone:206-233-3693
Mailing Address - Fax:425-673-9322
Practice Address - Street 1:20016 CEDAR VALLEY RD STE 104
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-6332
Practice Address - Country:US
Practice Address - Phone:206-233-3693
Practice Address - Fax:425-673-9322
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF00001263106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist