Wynn, Katherine Aviva

Wynn, Katherine Aviva is an sole proprietor health care provider with primary practice located at 8015 Se 28Th Street , Mercer Island WA 98040. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wynn, Katherine Aviva can be contacted via phone (206) 236-1294.

Contact Information

Primary practice address
8015 Se 28Th Street Mercer Island WA 98040
Phone: (206) 236-1294
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SC61553232 Washington
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1598549073
LBN Legal business name Wynn, Katherine Aviva
Credentials LSWAIC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2023
Last updated Dec 4th, 2025 - about last year

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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