Provider Demographics
NPI:1952473100
Name:HSU, BERNICE IMEI (RN, MAC, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:BERNICE
Middle Name:IMEI
Last Name:HSU
Suffix:
Gender:F
Credentials:RN, MAC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1527 CALIFORNIA AVE SW
Mailing Address - Street 2:#302
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116-1688
Mailing Address - Country:US
Mailing Address - Phone:206-769-5740
Mailing Address - Fax:
Practice Address - Street 1:1527 CALIFORNIA AVE SW
Practice Address - Street 2:#302
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-1688
Practice Address - Country:US
Practice Address - Phone:206-769-5740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00008891101YM0800X, 163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health