| Eastside Social Skills Therapy | |
|
5431 236th Pl Se Issaquah WA 98029-6844 | |
| (509) 366-5572 | |
| Not Available |
| Full Name | Eastside Social Skills Therapy |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5431 236th Pl Se, Issaquah, Washington |
| Authorized Official Name and Position | Penny J Lathum (OWNER/DIRECTOR) |
| Authorized Official Contact | 2063803009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastside Social Skills Therapy 5431 236th Pl Se Issaquah WA 98029-6844 Ph: () - | Eastside Social Skills Therapy 5431 236th Pl Se Issaquah WA 98029-6844 Ph: (509) 366-5572 |
| NPI Number | 1770020331 |
|---|---|
| Provider Enumeration Date | 01/20/2017 |
| Last Update Date | 01/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770020331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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