Doctor Name: | DR. JUTTA ELISABETH ATAIE |
NPI Number: | 1285043331 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D., LICSW |
License Number: | LW60152875 |
Business Practice Address: | 18017 Vashon Hwy Sw Vashon, WA - 980705205 |
Business Phone Number: | 2069413851 |
Business Fax Number: | |
Mailing Address: | 13123 Sw 196th St, VASHON |
State: | WA |
Postal Code: | 980704805 |
Phone Number: | 2069413851 |
Fax Number: | |
NPI Enumeration Date: | 08/02/2014 |
NPI Last Update Date: | 08/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LW60152875 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |