Kory Lance Ganuelas
Kory Lance Ganuelas is a Clinical Child & Adolescent Psychologist in Seattle, Washington. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
2400 NE 95th StSeattle, WA 98115-2426
Phone: (206) 525-5050
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Clinical Child & Adolescent Psychologist | Taxonomy 103TC2200X |
Record details
| NPI number | 1891459129 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 22, 2021 |
| Last updated in NPPES | October 22, 2021 |
| Certification date | October 22, 2021 |
| Mailing address | 2400 Ne 95th St, Seattle, WA 98115-2426 |
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