Provider Demographics
NPI:1447599691
Name:GILLESPIE, ANNE KATRIN (PHD, DIPL)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:KATRIN
Last Name:GILLESPIE
Suffix:
Gender:F
Credentials:PHD, DIPL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2024 CATON WAY SW STE 102
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98502-8201
Mailing Address - Country:US
Mailing Address - Phone:619-284-2535
Mailing Address - Fax:
Practice Address - Street 1:2024 CATON WAY SW STE 102
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-8201
Practice Address - Country:US
Practice Address - Phone:619-284-2535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-07
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY24920103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical