Provider Demographics
NPI:1366524845
Name:SARGENT, MEREDITH M (PHD)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:M
Last Name:SARGENT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2950 NORTHUP WAY
Mailing Address - Street 2:SUITE 204
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004
Mailing Address - Country:US
Mailing Address - Phone:425-739-4772
Mailing Address - Fax:425-739-4778
Practice Address - Street 1:1417 NW 54TH STREET, SUITE 252
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107
Practice Address - Country:US
Practice Address - Phone:206-297-6245
Practice Address - Fax:425-739-4778
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2019-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00002838103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical