Provider Demographics
NPI:1295116291
Name:ESPINOSA, AMARIS (PSYD, LMHC, ATR)
Entity type:Individual
Prefix:DR
First Name:AMARIS
Middle Name:
Last Name:ESPINOSA
Suffix:
Gender:F
Credentials:PSYD, LMHC, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 W GALER ST STE 204
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98119-3393
Mailing Address - Country:US
Mailing Address - Phone:970-306-7473
Mailing Address - Fax:
Practice Address - Street 1:314 W GALER ST STE 204
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98119-3393
Practice Address - Country:US
Practice Address - Phone:970-306-7473
Practice Address - Fax:303-374-6381
Is Sole Proprietor?:No
Enumeration Date:2015-06-15
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60568529101YM0800X
WAPY.60922843103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health