Provider Demographics
NPI:1962787655
Name:MCLAWSEN, JULIA ELIZABETH (PHD, RPSYCH)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:ELIZABETH
Last Name:MCLAWSEN
Suffix:
Gender:F
Credentials:PHD, RPSYCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 109TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-6342
Mailing Address - Country:US
Mailing Address - Phone:206-289-0456
Mailing Address - Fax:888-573-8472
Practice Address - Street 1:1400 112TH AVE SE STE 100
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004
Practice Address - Country:US
Practice Address - Phone:206-289-0456
Practice Address - Fax:888-573-8472
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-13
Last Update Date:2018-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60249064103TC0700X
WAPY60249064103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical