Individual
JOSEPH NEVOTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2023 EAST SIMS WAY, PORT TOWNSEND, WA 98368
(360) 643-9113
Mailing address
2023 EAST SIMS WAY, PORT TOWNSEND, WA 98368
(360) 643-9113
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
PSY9999
CA
103TF0200X
Forensic Psychologist
PY60043174
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PY60043174
LICENSE
WA
01
—
PYS9999
LICENSE
CA
Enumeration date
02/10/2014
Last updated
02/10/2014
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