Provider Demographics
NPI:1891087003
Name:HATTATOGLU, PELIN (PHD)
Entity Type:Individual
Prefix:
First Name:PELIN
Middle Name:
Last Name:HATTATOGLU
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 1:1211 N 32ND ST
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98056-2126
Mailing Address - Country:US
Mailing Address - Phone:425-793-9255
Mailing Address - Fax:
Practice Address - Street 1:1211 N 32ND ST
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98056-2126
Practice Address - Country:US
Practice Address - Phone:425-793-9255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-05
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60551097101YM0800X
WAPY60481249103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health