Provider Demographics
NPI:1134339153
Name:RICARD, RIKKI (PSYA - FIPA, MA, MFA)
Entity type:Individual
Prefix:MS
First Name:RIKKI
Middle Name:
Last Name:RICARD
Suffix:
Gender:F
Credentials:PSYA - FIPA, MA, MFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 32ND AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98144-3219
Mailing Address - Country:US
Mailing Address - Phone:206-721-5935
Mailing Address - Fax:
Practice Address - Street 1:1130 32ND AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-3219
Practice Address - Country:US
Practice Address - Phone:206-725-6920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMH30002672102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst