Thea Maxim, SUDPT
Thea Maxim, SUDPT is a Student in an Organized Health Care Education/Training Program in Shoreline, Washington. Licensed in Washington. Registered with an NPI since 2025.
- Licensed in
- WA
- In the registry since
- 2025
Practice location Address checks out
Shoreline, WANo coordinates on file. Search this address in Google Maps
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence CO61403069 (WA) |
|---|
Record details
| NPI number | 1548135353 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | SUDPT |
| Sole proprietor | No |
| NPI enumerated | October 9, 2025 |
| Last updated in NPPES | October 9, 2025 |
| Certification date | October 7, 2025 |
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