Provider Demographics
NPI:1992485270
Name:SERIN, DIDEM
Entity type:Individual
Prefix:
First Name:DIDEM
Middle Name:
Last Name:SERIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1827 N 165TH ST
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-5500
Mailing Address - Country:US
Mailing Address - Phone:206-495-8684
Mailing Address - Fax:
Practice Address - Street 1:1200 WESTLAKE AVE N STE 407
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-3528
Practice Address - Country:US
Practice Address - Phone:425-243-4723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-20
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist