| Thomas W. Wall Phd, Ps | |
|
2440 Dexter Ave N Apt 1 Seattle WA 98109-5924 | |
| (206) 325-5700 | |
| Not Available |
| Full Name | Thomas W. Wall Phd, Ps |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2440 Dexter Ave N Apt 1, Seattle, Washington |
| Authorized Official Name and Position | Thomas William Wall (PRESIDENT) |
| Authorized Official Contact | 2063255700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas W. Wall Phd, Ps 2440 Dexter Ave N Apt 1 Seattle WA 98109-5924 Ph: () - | Thomas W. Wall Phd, Ps 2440 Dexter Ave N Apt 1 Seattle WA 98109-5924 Ph: (206) 325-5700 |
| NPI Number | 1952548935 |
|---|---|
| Provider Enumeration Date | 01/14/2009 |
| Last Update Date | 01/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952548935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 485 (Washington) | Primary |
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