Provider Demographics
NPI:1700969524
Name:SKARBEK, EDYTA ANNA (PHD)
Entity Type:Individual
Prefix:
First Name:EDYTA
Middle Name:ANNA
Last Name:SKARBEK
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 PONTIUS AVE N
Mailing Address - Street 2:APT. # 302
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-5418
Mailing Address - Country:US
Mailing Address - Phone:206-624-0299
Mailing Address - Fax:
Practice Address - Street 1:1660 S COLUMBIAN WAY,
Practice Address - Street 2:PSHCS, MAIL STOP: S - 116 - DDTP
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108
Practice Address - Country:US
Practice Address - Phone:206-764-2163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY 00003812103TC0700X, 103TA0400X, 103TB0200X, 103T00000X, 103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy