Provider Demographics
NPI:1689338246
Name:KAZUYO ASADA PHD PLLC
Entity type:Organization
Organization Name:KAZUYO ASADA PHD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KAZUYO
Authorized Official - Middle Name:
Authorized Official - Last Name:ASADA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:206-462-8415
Mailing Address - Street 1:231 SE BARRINGTON DR STE 202
Mailing Address - Street 2:
Mailing Address - City:OAK HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98277-3200
Mailing Address - Country:US
Mailing Address - Phone:206-462-8415
Mailing Address - Fax:
Practice Address - Street 1:14040 NE 8TH ST STE 224
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-4138
Practice Address - Country:US
Practice Address - Phone:206-462-8415
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-28
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty