Provider Demographics
NPI:1700216165
Name:BREIGER & BREIGER PSYCHOLOGICAL AND NEUROPSYCHOLOGICAL SERVICES, PLLC
Entity Type:Organization
Organization Name:BREIGER & BREIGER PSYCHOLOGICAL AND NEUROPSYCHOLOGICAL SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:G
Authorized Official - Last Name:BREIGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-947-3636
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:425-947-3636
Mailing Address - Fax:425-947-3637
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:425-947-3636
Practice Address - Fax:425-947-3637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-22
Last Update Date:2013-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1742103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty