Provider Demographics
NPI:1891828455
Name:SARATOGA CREEK ASSOCIATES
Entity Type:Organization
Organization Name:SARATOGA CREEK ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:CHAMRAD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:360-221-7892
Mailing Address - Street 1:919 3RD ST
Mailing Address - Street 2:#101
Mailing Address - City:LANGLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98260-9228
Mailing Address - Country:US
Mailing Address - Phone:360-221-7892
Mailing Address - Fax:
Practice Address - Street 1:919 3RD ST
Practice Address - Street 2:#101
Practice Address - City:LANGLEY
Practice Address - State:WA
Practice Address - Zip Code:98260-9228
Practice Address - Country:US
Practice Address - Phone:360-221-7892
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty