Provider Demographics
NPI:1306903562
Name:LAMPSON REIFF, KATHLEEN KIM (PHD)
Entity type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:KIM
Last Name:LAMPSON REIFF
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9725 SE 36TH ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-3841
Mailing Address - Country:US
Mailing Address - Phone:206-232-8404
Mailing Address - Fax:206-236-2065
Practice Address - Street 1:9725 SE 36TH ST
Practice Address - Street 2:SUITE 301
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-3841
Practice Address - Country:US
Practice Address - Phone:206-232-8404
Practice Address - Fax:206-236-2065
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2010-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00001186103TC0700X, 103TC1900X, 103T00000X, 103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral