# JOSEPH S. VIZZARD, PH.D., P.S,

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053511360
- **Authorized official:** DR. JOSEH STEPHEN VIZZARD PH.D (.PRESIDENT/PSYCHOLOGIST)
- **Authorized official phone:** (425) 771-8011

## Contact information

- **Practice address:** 8311 212TH ST SW, EDMONDS, WA 98026-7443
- **Practice address phone:** (425) 771-8011
- **Practice address fax:** (425) 771-8009
- **Mailing address:** 8311 212TH ST SW, EDMONDS, WA 98026-7443
- **Mailing address phone:** (425) 771-8011
- **Mailing address fax:** (425) 771-8009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | PY0001307 | WA | Yes |

## Other

- **Enumeration date:** 07/24/2007
- **Last updated:** 04/09/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 37852 | DEPARTMENT OF LABOR & INDUSTRIES | WA |
| 05 | — | 7115884 | — | WA |
| 01 | — | VI9735 | REGENCE INSURANCE | WA |