Individual
PHILLIP S TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
12303 MERIDIAN E STE 202, PUYALLUP, WA 98373-3418
(253) 268-0854
(253) 268-0854
Mailing address
12303 MERIDIAN E STE 202, PUYALLUP, WA 98373-3418
(253) 268-0854
(253) 268-0854
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY60232335
WA
Other
Enumeration date
11/30/2011
Last updated
04/07/2025
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