Gary Vandalfsen, Phd, P.s. | |
11808 Northup Way Suite W-150 Bellevue WA 98005-1936 | |
(425) 822-0242 | |
Not Available |
Full Name | Gary Vandalfsen, Phd, P.s. |
---|---|
Speciality | Psychologist - Clinical |
Location | 11808 Northup Way, Bellevue, Washington |
Authorized Official Name and Position | Gary Allen Vandalfsen (PRESIDENT) |
Authorized Official Contact | 4258220242 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gary Vandalfsen, Phd, P.s. 11808 Northup Way Suite W-150 Bellevue WA 98005-1936 Ph: (425) 822-0242 | Gary Vandalfsen, Phd, P.s. 11808 Northup Way Suite W-150 Bellevue WA 98005-1936 Ph: (425) 822-0242 |
NPI Number | 1376757575 |
---|---|
Provider Enumeration Date | 05/09/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376757575 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PY00001869 (Washington) | Primary |
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