| 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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