Provider Demographics
NPI:1528106382
Name:QUESTAD, KENT ARTHUR (PHD)
Entity type:Individual
Prefix:DR
First Name:KENT
Middle Name:ARTHUR
Last Name:QUESTAD
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6540 26TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-7135
Mailing Address - Country:US
Mailing Address - Phone:206-527-3557
Mailing Address - Fax:206-374-2391
Practice Address - Street 1:1530 N 115TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-8411
Practice Address - Country:US
Practice Address - Phone:206-527-3557
Practice Address - Fax:206-374-3271
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2010-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1185103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9352210Medicare UPIN
WA217000842Medicare ID - Type UnspecifiedMEICARE PROVIDER NUMBER