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Organization
EXTRAYEARS PSYCHOLOGY TEXAS PA
Active
Organization
EXTRAYEARS PSYCHOLOGY TEXAS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL FENTON PHD (HEAD OF NEUROPSYCHOLOGICAL SERVICES)
(425) 270-7631
Entity
Organization
Contact information
Practice address
999 3RD AVE STE 3300, SEATTLE, WA 98104-4002
(206) 801-1621
(206) 260-3185
Mailing address
999 3RD AVE STE 3300, SEATTLE, WA 98104-4002
(206) 801-1621
(206) 260-3185
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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