Provider Demographics
NPI:1619033933
Name:THORPE, SYLVIA A (PHD)
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:A
Last Name:THORPE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4200 MERIDIAN ST STE 209
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-5593
Mailing Address - Country:US
Mailing Address - Phone:360-647-1192
Mailing Address - Fax:360-734-3990
Practice Address - Street 1:4200 MERIDIAN ST STE 209
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-5593
Practice Address - Country:US
Practice Address - Phone:360-647-1192
Practice Address - Fax:360-734-3990
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00000461103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAGAB06568Medicare ID - Type Unspecified