| Holley Kaskel Psyd Llc | |
|
3310 E Lake Sammamish Pkwy Se Urban Oasis Sammamish WA 98075-7497 | |
| (425) 996-8592 | |
| (425) 667-8402 |
| Full Name | Holley Kaskel Psyd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 3310 E Lake Sammamish Pkwy Se, Sammamish, Washington |
| Authorized Official Name and Position | Holley F Kaskel (OWNER) |
| Authorized Official Contact | 4252139153 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holley Kaskel Psyd Llc 16541 Redmond Way #313c Redmond WA 98052-4492 Ph: (425) 996-8592 | Holley Kaskel Psyd Llc 3310 E Lake Sammamish Pkwy Se Urban Oasis Sammamish WA 98075-7497 Ph: (425) 996-8592 |
| NPI Number | 1740619295 |
|---|---|
| Provider Enumeration Date | 11/05/2013 |
| Last Update Date | 11/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740619295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY 60079992 (Washington) | Primary |
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