1942996947 NPI number — MRS. SOLVEIG KRISTINA FRIVOLD LMFT

Table of content: MRS. SOLVEIG KRISTINA FRIVOLD LMFT (NPI 1942996947)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942996947 NPI number — MRS. SOLVEIG KRISTINA FRIVOLD LMFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FRIVOLD
Provider First Name:
SOLVEIG
Provider Middle Name:
KRISTINA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LMFT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942996947
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/12/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
244/52 MOO BAN LANNA PINARY
Provider Second Line Business Mailing Address:
NONGKWAI, HANGDONG
Provider Business Mailing Address City Name:
CHIANGMAI
Provider Business Mailing Address State Name:
CHIANGMAI
Provider Business Mailing Address Postal Code:
50230
Provider Business Mailing Address Country Code:
TH
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14200 NE 171ST ST UNIT B103
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WOODINVILLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98072-9267
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-458-1899
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/12/2023

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  LF61426894 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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