1437691599 NPI number — EASTSIDE THERAPY AND CONSULTATION

Table of content: SARAH A. BARRY M.S. (NPI 1720159528)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437691599 NPI number — EASTSIDE THERAPY AND CONSULTATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EASTSIDE THERAPY AND CONSULTATION
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1437691599
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/07/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7901 168TH AVE NE
Provider Second Line Business Mailing Address:
SUITE 101
Provider Business Mailing Address City Name:
REDMOND
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98052-4468
Provider Business Mailing Address Country Code:
US
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:
7901 168TH AVE NE
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
REDMOND
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98052-4468
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-577-3828
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/07/2016

Additional Information

Authorized Official

Authorized Official Last Name:
DENBOER
Authorized Official First Name:
MEANIE
Authorized Official Middle Name:
Authorized Official Title or Position:
THERAPIST/PARTNER
Authorized Official Telephone Number:
425-577-3828

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  LF00002376 , 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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