Doctor Name: | MS. ANA PATRICIA SHORT |
NPI Number: | 1013184753 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED. |
License Number: | LH60450974 |
Business Practice Address: | 4807 196th St Sw Suite100 Lynnwood, WA - 980366430 |
Business Phone Number: | 4257744269 |
Business Fax Number: | 4257441216 |
Mailing Address: | 4807 196th St Sw, Suite100 LYNNWOOD |
State: | WA |
Postal Code: | 980366430 |
Phone Number: | 4257744269 |
Fax Number: | 4257441216 |
NPI Enumeration Date: | 05/12/2008 |
NPI Last Update Date: | 06/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LH60450974 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |