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NEUROPSYCHOLOGY AND REHABILITATION SERVICES OF WASHINGTON, PLLC

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Company Details

Legal Name: NEUROPSYCHOLOGY AND REHABILITATION SERVICES OF WASHINGTON, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: December 31st 2020
Date of Dissolution: August 31st 2022
Expiration date: 31 Dec 2022
UBI Number: 604 686 073
ZIP code: 98107
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1455 NW LEARY WAY STE 400, SEATTLE, WA, 98107-5138, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 1524 232ND PL SW, BOTHELL, WA, 98021-9150, UNITED STATES

Contact Details

E-Mail: DRKELLYCORNETT@NRSW.ORG
Phone Number: +1 425-209-0828

Nature of Business

Any Lawful Purpose

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Registered Agent Information

Name Role Address
NEUROPSYCHOLOGY AND REHABILITATION SERVICES OF WASHINGTON Registered Agent 2313 242ND PL SW, BOTHELL, WA, 98021-9349, UNITED STATES

Key Officers & Management

Name Role Address
KELLY CORNETT Executor 2313 242ND PL SW, BOTHELL, WA, 98021-9349, UNITED STATES
KELLY CORNETT Governing Person -

National Provider Identifier

NPI Number:
1912588088
Certification Date:
2021-04-29

Authorized Person:

Name:
KELLY AKIKO CORNETT
Role:
OWNER/NEUROPSYCHOLOGIST
Phone:

Taxonomy:

Selected Taxonomy:
103G00000X - Clinical Neuropsychologist
Is Primary:
Yes

Contacts:

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