Provider Demographics
NPI:1992849335
Name:NEAL AND BAKEWELL PSYCHOLOGICAL AND COUNSELING SERVICES INC
Entity Type:Organization
Organization Name:NEAL AND BAKEWELL PSYCHOLOGICAL AND COUNSELING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HELENE
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKEWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-576-9094
Mailing Address - Street 1:105 CENTRAL WAY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-6162
Mailing Address - Country:US
Mailing Address - Phone:425-576-9094
Mailing Address - Fax:
Practice Address - Street 1:105 CENTRAL WAY
Practice Address - Street 2:SUITE 200
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-6162
Practice Address - Country:US
Practice Address - Phone:425-576-9094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-19
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1788103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty