Ingrid Thorstenson, EDS., NCSP
Individual provider Active NPI School Psychologist · Sultan, WA
NPI 1306610092 · NPPES record last updated Nov 13, 2023
Key facts
- NPI
- 1306610092
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 590245G (WA)
- Practice address
- 514 4TH St
Sultan, WA 98294-9474 - Phone
- (360) 793-9800
- NPI assigned
- Nov 13, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 590245G | WA | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sultan School District # 311 | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 590245G | WA | Yes |
Addresses
Primary practice location
514 4TH St
Sultan, WA 98294-9474
Mailing address
514 4TH St
Sultan, WA 98294-9474
Other providers in Sultan, WA
- Sultan Pharmacy & Natural Care LLC
- Sultan School District # 311
- Summit Rehabilitation, LLC
- Carol Anne Sweeten
- Mary Kaitlin Thompson
- Sharone Trail
- Unified Behavioral Health
- Nicole Verbeck
- Vicki Lynn Vincent
- Jessica Janet Yang
All providers in Sultan, WA · School Psychologist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.