| Organization Name: | BERRETT PSYCHOLOGICAL SERVICES |
| NPI Number: | 1134266091 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KRISTINE MARIE BERRETT (OWNER, PSYCHOLOGIST) |
| Mailing Address: | 17220 127th Pl Ne Ste 300 Woodinville |
| State: | WA US |
| Postal Code: | 980727965 |
| Phone Number: | 4253180062 |
| Fax Number: | 3603877734 |
| NPI Enumeration Date: | 01/31/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | PY00002545 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |