Provider Demographics
NPI:1669764890
Name:SOUND DBT INC PS
Entity type:Organization
Organization Name:SOUND DBT INC PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:NAIAD
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:206-365-4648
Mailing Address - Street 1:17713 15TH AVE NE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98155-3839
Mailing Address - Country:US
Mailing Address - Phone:206-365-4648
Mailing Address - Fax:206-367-3850
Practice Address - Street 1:17713 15TH AVE NE
Practice Address - Street 2:SUITE 201
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98155-3839
Practice Address - Country:US
Practice Address - Phone:206-365-4648
Practice Address - Fax:206-367-3850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-05
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00004482101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty