Basic Information
| Provider Information | |||||||||
| NPI: | 1033421995 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MALETIC | ||||||||
| FirstName: | YVONNE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5506 4TH AVE NW | ||||||||
| Address2: | |||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981072715 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2066614347 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3320 173RD PL NE | ||||||||
| Address2: | |||||||||
| City: | ARLINGTON | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982238712 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4253498700 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/08/2010 | ||||||||
| LastUpdateDate: | 07/08/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.