| Organization Name: | KRISTI M KING PHD PS |
| NPI Number: | 1063771541 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KRISTI KING (PRESIDENT) |
| Mailing Address: | 20056 19th Ave Ne # 104b Shoreline |
| State: | WA US |
| Postal Code: | 981551211 |
| Phone Number: | 2069798177 |
| Fax Number: | 2063651428 |
| NPI Enumeration Date: | 05/03/2012 |
| NPI Last Update Date: | 05/04/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY00001607 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |