Doctor Name: | SHAREE WALLACE-SMITH |
NPI Number: | 1073911269 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | INTERNS |
Business Practice Address: | 14270 Ne 21st St Sound Mental Health Bellevue, WA - 980073720 |
Business Phone Number: | 4256535010 |
Business Fax Number: | 4256535010 |
Mailing Address: | 1600 E Olive St, Sound Mental Health SEATTLE |
State: | WA |
Postal Code: | 981222735 |
Phone Number: | 2063022210 |
Fax Number: | 2063022210 |
NPI Enumeration Date: | 12/20/2014 |
NPI Last Update Date: | 12/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | INTERNS |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |