OrganizationActive
Washington State Psychological Services, LLC
NPI 1801130976 · Rehabilitation Psychologist · Lynnwood, WA
Provider details
- NPI number
- 1801130976
- Entity type
- Organization
- Primary specialty
- Rehabilitation PsychologistBehavioral Health & Social Service Providers
- Authorized official
- Brenda Havellana, Neuropsychologist
- License
- PY60014648 (WA)
Practice location
5105 200th St Sw Ste 100
Lynnwood, WA 98036-6397
Phone: (425) 387-6972
Fax: (425) 377-0701
Mailing address
3224 75th Dr Ne
Marysville, WA 98270-6804
Registry dates
- Enumerated
- 2012-11-15
- Last updated
- 2012-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.