Provider Demographics
NPI:1962678367
Name:ARRIAZA, PABLO (PHD, MSW, LICSW)
Entity Type:Individual
Prefix:DR
First Name:PABLO
Middle Name:
Last Name:ARRIAZA
Suffix:
Gender:M
Credentials:PHD, MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12411 NE TOTEM LAKE WAY
Mailing Address - Street 2:#304
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-7517
Mailing Address - Country:US
Mailing Address - Phone:205-394-3256
Mailing Address - Fax:
Practice Address - Street 1:12411 NE TOTEM LAKE WAY
Practice Address - Street 2:#304
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-7517
Practice Address - Country:US
Practice Address - Phone:205-394-3256
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-06
Last Update Date:2013-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA603659841041C0700X
FL37961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA368344OtherMANAGED HEALTH NETWORK