Provider Demographics
NPI:1982837589
Name:ATLAS, HARRY ARIEL (PHD)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:ARIEL
Last Name:ATLAS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1818 WESTLAKE AVE N
Mailing Address - Street 2:122
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-2777
Mailing Address - Country:US
Mailing Address - Phone:206-281-7610
Mailing Address - Fax:
Practice Address - Street 1:1818 WESTLAKE AVE N
Practice Address - Street 2:122
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-2777
Practice Address - Country:US
Practice Address - Phone:206-281-7610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-29
Last Update Date:2009-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1159103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical