Individual
DR. JEFF L VANNICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
13451 SE 36TH ST, BELLEVUE, WA 98006-1475
(425) 562-1337
Mailing address
1415 6TH AVE N APT 402, SEATTLE, WA 98109-3462
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 60411752
WA
Other
Enumeration date
07/31/2006
Last updated
05/06/2014
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