Dillworth, Tiara

Dillworth, Tiara is an individual health care provider with primary practice located at 1959 Ne Pacific Street Box 354944, Seattle WA 98195-0001. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Rehabilitation is her primary health care specialty. Dillworth, Tiara can be contacted via phone (206) 598-4720.

Contact Information

Primary practice address
1959 Ne Pacific Street Box 354944 Seattle WA 98195-0001
Phone: (206) 598-4720
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY60155493 Washington
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X PY60155493 Washington

Profile Details

NPI number 1063841641
LBN Legal business name Dillworth, Tiara
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2013
Last updated Jun 20th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063841641 NPPES
Washington MEDICAID 1063841641

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