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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CIERA CAPRICE BOTZHEIM, PSYD

Active

CIERA CAPRICE BOTZHEIM, PSYD is a Clinical Psychologist healthcare provider located in MEDICAL LAKE, Washington. NPI 1255754594 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · MEDICAL LAKE, WA

Registration Details

NPI Number
1255754594
Provider Type
Individual
Gender
Female
NPI Issued
Jan 22, 2014 (12.378759535889 yrs)
Last Updated
Jul 18, 2018
License
PY60820221 (WA)

Practice Information

Address
EASTERN STATE HOSPITAL
850 MAPLE STREET
MEDICAL LAKE, WA, 990220800
Browse WA providers · Browse ZIP 99022
Phone
5095654000
Fax
5095654705
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Clinical Psychologist

Other Clinical Psychologist Providers in MEDICAL LAKE, WA

Name Credential NPI
DR. PATRICIA L. GUNDERSON PHD 1053393652
DR. GRETCHEN L. MEADER PHD 1104938414
CHRISTINA L. ZAMPICH PSYD 1043345465
DR. KIMBERLY COLE PSY. D. 1326211731
DAVID W. ELKINS JR. PHD 1215250741
DR. MAUREEN TARA NICKERSON PSYD 1578130274
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.