Individual
DR. SAMUEL WAYNE DUNCAN
Active
Individual
DR. SAMUEL WAYNE DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00001910
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005565417
AETNA
WA
01
—
91139348514
UNIFORM MEDICAL PLAN
WA
01
—
DU5108
REGENCE BLUE SHIELD
WA
Enumeration date
02/15/2007
Last updated
07/08/2007
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