Most Relevant Information
Provider Data
| NPI Number: | 1003365347 |
| Provider Name: | KATHLEEN DEVEGA |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/28/2016 |
| Last Updated: | 09/28/2016 |
Provider Practice Location
600 BROADWAY STE 170
SEATTLE
WA
981225332
Practice Location Phone/Fax
| Phone: | 2063022600 |
| Fax: | 2063022610 |
Provider Mailing Location
1600 E OLIVE ST
SOUND MENTAL HEALTH
SEATTLE
WA
981222735
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |