Provider Demographics
NPI:1962503904
Name:PULLMANN, LYNETTE DUFTON (PHD)
Entity Type:Individual
Prefix:
First Name:LYNETTE
Middle Name:DUFTON
Last Name:PULLMANN
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 1:5042 45TH AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-2310
Mailing Address - Country:US
Mailing Address - Phone:206-326-0411
Mailing Address - Fax:
Practice Address - Street 1:5042 45TH AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-2310
Practice Address - Country:US
Practice Address - Phone:206-326-0411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY60144022103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical