| Doctor Name: | DR. SONJA SELTZER SACKMAN |
| NPI Number: | 1326377250 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | PSYC.PY.60098279 |
| Business Practice Address: | 19001 Vashon Hwy Sw Suite 206 Vashon, WA - 980705214 |
| Business Phone Number: | 2067999764 |
| Business Fax Number: | |
| Mailing Address: | 24122 129th Ave Sw, VASHON |
| State: | WA |
| Postal Code: | 980707511 |
| Phone Number: | 2067999764 |
| Fax Number: | |
| NPI Enumeration Date: | 12/24/2009 |
| NPI Last Update Date: | 12/24/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSYC.PY.60098279 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |