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EXTRAYEARS PSYCHOLOGY CALIFORNIA, P.C.
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Company Details
Legal Name:
EXTRAYEARS PSYCHOLOGY CALIFORNIA, P.C.
Jurisdiction:
WASHINGTON
Entity Type:
FOREIGN PROFESSIONAL SERVICE CORPORATION
Category:
FOREIGN ENTITY
Status:
Active
Formation/ Registration Date:
April 7th 2025
Expiration date:
30 Apr 2026
UBI Number:
605 828 591
ZIP code:
98104
City:
Seattle
County:
KING
Home State:
WASHINGTON
Principal Office Street Address:
999 3RD AVE FL 33, SEATTLE, WA, 98104-4019, UNITED STATES
Nature of Business
Health Care, Social Assistance & Service Organization
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Registered Agent Information
Name
Role
REGISTERED AGENTS INC
Registered Agent
Key Officers & Management
Name
Role
DANIEL FENTON
Governing Person
National Provider Identifier
NPI Number:
1770370009
Certification Date:
2025-04-21
Link:
View on NPI website
Authorized Person:
Name:
DR. DANIEL FENTON
Role:
HEAD OF NEUROPSYCHOLOGICAL SERVICES
Phone:
2068010505
Taxonomy:
Selected Taxonomy:
103TB0200X - Cognitive & Behavioral Psychologist
Is Primary:
Yes
Contacts:
Phone:
+1 206-801-1621
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