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Individual
DAVID H FORDYCE
Active
Individual
DAVID H FORDYCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY00000928
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039586
LABOR AND INDUSTRIES#
WA
05
—
8368425
—
WA
01
—
FO0456
BLUE SHIELD#
WA
05
—
PS709WA
—
AK
01
—
US4127101
AETNA SPECIALIST PIN
WA
Enumeration date
01/18/2007
Last updated
04/07/2008
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