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Organization
JOSEPH S. VIZZARD, PH.D., P.S,
Active
Organization
JOSEPH S. VIZZARD, PH.D., P.S,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEH STEPHEN VIZZARD PH.D (.PRESIDENT/PSYCHOLOGIST)
(425) 771-8011
Entity
Organization
Contact information
Practice address
8311 212TH ST SW, EDMONDS, WA 98026-7443
(425) 771-8011
(425) 771-8009
Mailing address
8311 212TH ST SW, EDMONDS, WA 98026-7443
(425) 771-8011
(425) 771-8009
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY0001307
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37852
DEPARTMENT OF LABOR & INDUSTRIES
WA
05
—
7115884
—
WA
01
—
VI9735
REGENCE INSURANCE
WA
Enumeration date
07/24/2007
Last updated
04/09/2013
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