Provider Demographics
NPI:1457720351
Name:HOPE PSYCHOLOGY & ASSESSMENTS
Entity Type:Organization
Organization Name:HOPE PSYCHOLOGY & ASSESSMENTS
Other - Org Name:KATHERINE J. KELLY, PH.D.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:425-757-2920
Mailing Address - Street 1:707 S GRADY WAY
Mailing Address - Street 2:#600
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-3224
Mailing Address - Country:US
Mailing Address - Phone:425-757-2920
Mailing Address - Fax:425-207-7425
Practice Address - Street 1:707 S GRADY WAY
Practice Address - Street 2:#600
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-3224
Practice Address - Country:US
Practice Address - Phone:425-757-2920
Practice Address - Fax:425-757-2920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-21
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY 60563485251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1841483286OtherNPI
WA1841483286Medicare PIN