Basic Information
Provider Information
NPI: 1063569218
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALDINGER
FirstName: CYNTHIA
MiddleName: KAY
NamePrefix:  
NameSuffix:  
Credential: BA, AAC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1600 E OLIVE ST
Address2: SEATTLE MENTAL HEALTH
City: SEATTLE
State: WA
PostalCode: 981222735
CountryCode: US
TelephoneNumber: 2063022200
FaxNumber: 2063022210
Practice Location
Address1: 14270 NE 21ST ST
Address2:  
City: BELLEVUE
State: WA
PostalCode: 980073720
CountryCode: US
TelephoneNumber: 4256535000
FaxNumber: 4256535010
Other Information
ProviderEnumerationDate: 01/03/2007
LastUpdateDate: 09/18/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800XCG60153636WAY Behavioral Health & Social Service ProvidersCounselorMental Health
101Y00000XCG60153636WAN Behavioral Health & Social Service ProvidersCounselor 

No ID Information.


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