Basic Information
| Provider Information | |||||||||
| NPI: | 1952458507 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TSANG | ||||||||
| FirstName: | LAURA | ||||||||
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| Credential: | LMFT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4744 41 AVE SW, | ||||||||
| Address2: | SUITE 101 | ||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 98116 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2069926597 | ||||||||
| FaxNumber: | 2069331047 | ||||||||
| Practice Location | |||||||||
| Address1: | 4744 41 AVE SW, | ||||||||
| Address2: | SUITE 101 | ||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 98146 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2069926597 | ||||||||
| FaxNumber: | 2069331047 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/05/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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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 | LF00000895 | WA | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.