Provider Demographics
NPI:1487773446
Name:SARNAIK, DIPTI T (LMFT)
Entity type:Individual
Prefix:MRS
First Name:DIPTI
Middle Name:T
Last Name:SARNAIK
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22307 65TH AVE W
Mailing Address - Street 2:
Mailing Address - City:MOUNTLAKE TERRACE
Mailing Address - State:WA
Mailing Address - Zip Code:98043-2449
Mailing Address - Country:US
Mailing Address - Phone:425-330-0326
Mailing Address - Fax:425-744-0579
Practice Address - Street 1:22307 65TH AVE W
Practice Address - Street 2:
Practice Address - City:MOUNTLAKE TERRACE
Practice Address - State:WA
Practice Address - Zip Code:98043-2449
Practice Address - Country:US
Practice Address - Phone:425-330-0326
Practice Address - Fax:425-744-0579
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF00001350106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist