Provider Demographics
NPI:1013222827
Name:WADHWA, SHOBHNA (MS)
Entity type:Individual
Prefix:
First Name:SHOBHNA
Middle Name:
Last Name:WADHWA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:SHOBHNA
Other - Middle Name:
Other - Last Name:HENDRY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:16000 BOTHELL EVERETT HWY STE 360
Mailing Address - Street 2:
Mailing Address - City:MILL CREEK
Mailing Address - State:WA
Mailing Address - Zip Code:98012-1577
Mailing Address - Country:US
Mailing Address - Phone:425-357-9111
Mailing Address - Fax:425-357-9119
Practice Address - Street 1:16000 BOTHELL EVERETT HWY STE 360
Practice Address - Street 2:
Practice Address - City:MILL CREEK
Practice Address - State:WA
Practice Address - Zip Code:98012-1577
Practice Address - Country:US
Practice Address - Phone:425-357-9111
Practice Address - Fax:425-357-9119
Is Sole Proprietor?:No
Enumeration Date:2010-08-17
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA101YM0800X
WALH00007537101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor