# MR. ERIC STEPHEN JANNAZZO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1346579174
- **Gender:** Man
- **Credential:** PH.D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | PY 60107811 | WA | Yes |

## Other

- **Enumeration date:** 12/07/2009
- **Last updated:** 12/07/2009
